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Adam Reynolds DMD Ortho LLC

Details

Name: Adam Reynolds DMD Ortho LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 May 2021 (4 years ago)
Entity Number: 000-856-427
Register Number: 000856427
Historical Names: Adam Reynolds Ortho LLC
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 25 HUGHES RDMadison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720711948 2022-07-05 2022-07-05 25 HUGHES RD, MADISON, AL, 357582238, US 25 HUGHES RD, MADISON, AL, 357582238, US

Contacts

Phone +1 256-870-8700

Authorized person

Name ADAM KEITH REYNOLDS
Role ORTHODONTIST
Phone 2568708700

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role
Reynolds, Adam K Agent

Organizer

Name Role Address
REYNOLDS, ADAM K Organizer 107 WILKERSON AVEMADISON, AL 35756

Events

Event Date Event Type Old Value New Value
2022-02-28 Name Change Adam Reynolds Ortho LLC Adam Reynolds DMD Ortho LLC

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State