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Comprehensive Dentistry of Orange Beach, L.L.C.

Details

Name: Comprehensive Dentistry of Orange Beach, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Jan 2002 (23 years ago)
Entity Number: 000-679-590
Register Number: 000679590
County: Baldwin
Place of Formation: Baldwin County
Principal Address: ORANGE BEACH, AL
Registered Office Street Address: 2750 ROLLINS RDORANGE BEACH, AL 36561
Registered Office Street Address ZIP Code: 36561

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417179904 2007-05-03 2020-08-22 2750 ROLLINS RD, ORANGE BEACH, AL, 365613059, US 2750 ROLLINS RD, ORANGE BEACH, AL, 365613059, US

Contacts

Phone +1 251-974-1512
Fax 2519741468

Authorized person

Name DR. ANDREW DEXTER DUNAVANT JR.
Role OWNER
Phone 2519741512

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 4155
State AL
Is Primary Yes

Agent

Name Role
DUNAVANT, ANDREW D JR Agent

Member

Name Role
DUNAVANT, ANDREW D JR Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State