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Lee Redditt, DMD, PLLC

Details

Name: Lee Redditt, DMD, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 04 May 2021 (4 years ago)
Entity Number: 000-852-295
Register Number: 000852295
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 5721 Highway 90 WestTheodore, AL 36582
Registered Office Street Address ZIP Code: 36582

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164096749 2021-05-18 2021-05-18 5721 HIGHWAY 90 STE A, THEODORE, AL, 365823601, US 5721 HIGHWAY 90 STE A, THEODORE, AL, 365823601, US

Contacts

Phone +1 251-653-1242
Fax 2516531242

Authorized person

Name MRS. MELISSA G UNDERWOOD
Role OFFICE MANAGER
Phone 2516531300

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
Redditt, Lee Agent

Organizer

Name Role Address
REDDITT, LEE Organizer 5721 HIGHWAY 90 WESTTHEODORE, AL 36582-5105

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State