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White Oak Family Dentistry LLC

Details

Name: White Oak Family Dentistry LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Jul 2021 (3 years ago) (Companies founded in July 2021)
Entity Number: 000-874-916
Register Number: 000874916
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1905 OXMOOR ROADHOMEWOOD, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699427807 2022-01-19 2022-01-19 1905 OXMOOR RD, HOMEWOOD, AL, 352093502, US 1905 OXMOOR RD, HOMEWOOD, AL, 352093502, US

Contacts

Phone +1 205-870-3055
Fax 2058703056

Authorized person

Name ASHLEY MECHAY GRAY
Role GENERAL DENTIST/OWNER/MEMBER
Phone 2055864982

Taxonomy

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

Agent

Name Role
Gray, J. Nathan D.M.D. Agent

Organizer

Name Role Address
Gray, J. Nathan D.M.D Organizer 2022 Fischer Road NEFort Payne, AL 35967

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State