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Anniston Dental Group, L.L.C.

Details

Name: Anniston Dental Group, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Mar 2002 (23 years ago)
Entity Number: 000-680-912
Register Number: 000680912
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 1613 LEIGHTON AVEANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207

Activities DENTISTRY/COSMETIC DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932117132 2006-08-03 2020-08-22 1613 LEIGHTON AVE, ANNISTON, AL, 362073830, US 1613 LEIGHTON AVE, ANNISTON, AL, 362073830, US

Contacts

Phone +1 256-236-6021
Fax 2562366263

Authorized person

Name DR. KAREN CONNELL
Role DENTIST/OWNER
Phone 2562366021

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5043
State AL
Is Primary Yes

Agent

Name Role Address
CONNELL, KAREN Agent 1613 LEIGHTON AVENUEANNISTON, AL 36207

Member

Name Role Address
CONNELL, KAREN Member 1613 LEIGHTON AVENUEANNISTON, AL 36207

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State