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Reaves Pediatric Dentistry, LLC

Details

Name: Reaves Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 08 Mar 2021 (4 years ago)
Entity Number: 000-839-183
Register Number: 000839183
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 611 Elizabeth DriveAuburn, AL 36830
Registered Office Street Address ZIP Code: 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013663400 2022-02-24 2022-02-24 2828 CENTRAL AVE, HOMEWOOD, AL, 352092504, US 2828 CENTRAL AVE, HOMEWOOD, AL, 352092504, US

Contacts

Phone +1 205-332-3886
Fax 2053323887

Authorized person

Name DR. CAITLIN REAVES
Role OWNER
Phone 3343328911

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
Cox, James E Agent 611 Elizabeth DriveAuburn, AL 36830

Organizer

Name Role Address
COX, JAMES E Organizer 611 ELIZABETH DRIVEAUBURN, AL 36830-6013

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State