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Coker Family Dentistry, L.L.C.

Details

Name: Coker Family Dentistry, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Sep 2001 (23 years ago)
Entity Number: 000-677-869
Register Number: 000677869
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 1845 DARBY DRFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630

Activities PRACTICE DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164605390 2007-12-11 2007-12-11 1845 DARBY DR, FLORENCE, AL, 356302622, US 1845 DARBY DR, FLORENCE, AL, 356302622, US

Contacts

Phone +1 256-767-7600
Fax 2567670490

Authorized person

Name DR. MATTHEW JIMMY COKER
Role OWNER
Phone 2567677600

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
COKER, TAMSIE C Agent

Member

Name Role
COKER, TAMSIE C Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State