| Name: | N Dean Dental LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jul 2021 (3 years ago) |
| Entity Number: | 000-873-873 |
| Register Number: | 000873873 |
| County: | Lee |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2311 Bent Creek Rd.Auburn, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538823828 | 2021-10-24 | 2021-10-24 | 867 N DEAN RD, AUBURN, AL, 368309419, US | 867 N DEAN RD, AUBURN, AL, 368309419, US | |||||||||||||||||||||||||||||||
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| Phone | +1 334-887-6111 |
Authorized person
| Name | DR. JOSHUA MATHIS |
| Role | OWNER DENTIST |
| Phone | 9188524854 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | KIM PETERS NPI |
| Number | 1285717934 |
| State | AL |
| Issuer | BRANDON ALBRITTON NPI |
| Number | 1003485483 |
| State | AL |
| Issuer | JOSH MATHIS NPI |
| Number | 1487183117 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| Mathis, Joshua D | Organizer | 2311 Bent Creek RdAuburn, AL 36830 |
| Name | Role | Address |
|---|---|---|
| Mathis, Joshua D | Agent | 2311 Bent Creek RdAuburn, AL 36830 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
