Search icon

Dakota B. Clark, DMD, LLC

Details

Name: Dakota B. Clark, DMD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Oct 2020 (4 years ago) (Companies founded in October 2020)
Entity Number: 000-732-577
Register Number: 000732577
ZIP code: 36265 (Companies in Calhoun, 36265)
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 1450 1ST AVENUE SWJACKSONVILLE, AL 36265

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972101426 2020-10-15 2020-10-15 1450 1ST AVE SW, JACKSONVILLE, AL, 362653329, US 1450 1ST AVE SW, JACKSONVILLE, AL, 362653329, US

Contacts

Phone +1 256-435-2007

Authorized person

Name DR. DAKOTA B CLARK
Role OWNER
Phone 2564352007

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
CLARK, DAKOTA B Agent

Organizer

Name Role Address
RUTLEDGE, JON J. Organizer 300 VESTAVIA PARKWAY SUITE 2300VESTAVIA HILLS, AL 35216

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State