| Name: | South Alabama Smiles, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Jul 2020 (4 years ago) |
| Entity Number: | 000-639-713 |
| Register Number: | 000639713 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 356 Morphy Avenue #8Fairhope, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477164374 | 2020-08-13 | 2020-09-18 | 4732 AIRPORT BLVD, MOBILE, AL, 366083134, US | 4732 AIRPORT BLVD, MOBILE, AL, 366083134, US | |||||||||||||
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| Phone | +1 601-201-3700 |
Authorized person
| Name | DR. NIKETA THOMPSON |
| Role | GENERAL DENTIST |
| Phone | 2513049005 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Barranco & Associates LLC | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
