| Name: | Progressive Dentistry LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Jul 2003 (21 years ago) (Companies founded in July 2003) |
| Entity Number: | 000-691-641 |
| Register Number: | 000691641 |
| ZIP code: | 35765 (Companies in Jackson, 35765) |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | PISGAH, AL |
| Registered Office Street Address: | 11093 AL HWY 71PISGAH, AL 35765 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386015022 | 2015-10-07 | 2015-10-07 | 11093 AL HIGHWAY 71, PISGAH, AL, 357657713, US | 11093 AL HIGHWAY 71, PISGAH, AL, 357657713, US | |||||||||||||||||
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| Phone | +1 256-451-7242 |
Authorized person
| Name | DARREN PATRICK BARRILLEAUX |
| Role | PRESIDENT |
| Phone | 2564517242 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4490 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARRILLEAUX, DARREN P | Agent | 11093 ALABAMA HWY 71PISGAH, AL 35765 |
| Name | Role | Address |
|---|---|---|
| BARRILLEAUX, DARREN P | Member | 11093 ALABAMA HWY 71PISGAH, AL 35765 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
