| Name: | PDA Ortho Cullman, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 May 2021 (4 years ago) (Companies founded in May 2021) |
| Entity Number: | 000-860-251 |
| Register Number: | 000860251 |
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3000 Southlake Pk Suite 200Birmingham, AL 35244 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467025866 | 2021-07-22 | 2023-09-12 | 5564 GROVE BLVD STE A, HOOVER, AL, 352264601, US | 1907 MAIN AVE SW STE A, CULLMAN, AL, 350555218, US | |||||||||||||
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| Phone | +1 256-279-9852 |
Authorized person
| Name | MALLORY SAMUELSON |
| Role | OPERATIONS MANAGER |
| Phone | 6156319226 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Gilbert, Danielle | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
