| Name: | Alabama Family Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Jan 2001 (24 years ago) |
| Entity Number: | 000-673-460 |
| Register Number: | 000673460 |
| Historical Names: |
Warrior Family Dentistry, LLC
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | WARRIOR, AL |
| Registered Office Street Address: | 205 CALDWELL DRWARRIOR, AL 35180 |
| Registered Office Street Address ZIP Code: | 35180 |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437582285 | 2013-08-15 | 2013-08-15 | 205 CALDWELL DR, WARRIOR, AL, 351801407, US | 385 BRYAN RD STE 300, SUMITON, AL, 351483440, US | |||||||||||||||||||||
|
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| Phone | +1 205-647-3181 |
| Phone | +1 205-648-6054 |
| Fax | 2056483625 |
Authorized person
| Name | CONNIE MARKS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2056486054 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5476 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GRAHAM, ADAM | Agent |
| Name | Role | Address |
|---|---|---|
| KIM, DAVID | Member | 19012 KILFINAN STREETNORTHRIDGE, CA 91326 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2004-07-26 | Name Change | Warrior Family Dentistry, LLC | Alabama Family Dentistry, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
