| Name: | Vibe Dental of Huntsville, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Apr 2021 (4 years ago) |
| Entity Number: | 000-847-851 |
| Register Number: | 000847851 |
| Historical Names: |
NKO Dental AL, PLLC
Vibe Dental of Athens, PLLC |
| County: | Limestone |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 721 Market Street WestAthens, AL 35611 |
| Registered Office Street Address ZIP Code: | 35611 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952054405 | 2022-02-03 | 2022-02-03 | 1807 UNIVERSITY DR NW, HUNTSVILLE, AL, 358015744, US | 1807 UNIVERSITY DR NW, HUNTSVILLE, AL, 358015744, US | |||||||||||||||||||
|
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| Phone | +1 256-536-7414 |
Authorized person
| Name | KIM WHITE |
| Role | REGIONAL MANAGER |
| Phone | 6155121839 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PHONE NUMBER |
| Number | 2565367414 |
| State | AL |
| Name | Role |
|---|---|
| Owens, Nathan W | Agent |
| Name | Role | Address |
|---|---|---|
| WALLACH, SAM | Organizer | 4512 WEST PINE BLVDSAINT LOUIS, MO 63108 |
| HUNTER ALTVATER | Organizer | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-12-13 | Name Change | Vibe Dental of Athens, PLLC | Vibe Dental of Huntsville, PLLC |
| 2021-09-03 | Name Change | NKO Dental AL, PLLC | Vibe Dental of Athens, PLLC |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
