| Name: | Summit Smiles Pediatric Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Feb 2020 (5 years ago) |
| Entity Number: | 000-624-043 |
| Register Number: | 000624043 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2090 COLUMBIANA RD STE 2000BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629602529 | 2020-02-28 | 2020-02-28 | 3106 JAMES MADISON DR E, MOBILE, AL, 366934060, US | 3106 JAMES MADISON DR E, MOBILE, AL, 366934060, US | |||||||||||||
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| Phone | +1 251-455-9787 |
Authorized person
| Name | DR. SEAN CLAUDE GUNNELS |
| Role | PEDIATRIC DENTIST (PEDODONTIST) |
| Phone | 2514559787 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Organizer | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
