| Name: | Valley Dental Implant Center L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 May 2001 (24 years ago) |
| Entity Number: | 000-675-521 |
| Register Number: | 000675521 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | SCOTTSBORO, AL |
| Registered Office Street Address: | 921 S BROAD STSCOTTSBORO, AL 35768 |
| Registered Office Street Address ZIP Code: | 35768 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588733299 | 2006-11-07 | 2015-06-11 | 921 SOUTH BROAD ST, SCOTTSBORO, AL, 35768, US | 921 SOUTH BROAD ST, SCOTTSBORO, AL, 35768, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-259-1404 |
| Fax | 2562592042 |
Authorized person
| Name | DR. WAYNE A PATTERSON III |
| Role | MEMBER |
| Phone | 2565746463 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 03792 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PATTERSON, WAYNE AUGUSTUS III | Agent |
| Name | Role |
|---|---|
| PATTERSON, WAYNE AUGUSTUS III | Member |
| PATTERSON, ANITA DENISE SUMMERLIN | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
