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Singing River Dentistry Treehouse Killen, LLC

Details

Name: Singing River Dentistry Treehouse Killen, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Feb 2022 (3 years ago)
Entity Number: 001-001-356
Register Number: 001001356
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 121 E. 6th StreetTuscumbia, AL 35674
Registered Office Street Address ZIP Code: 35674

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932854262 2022-02-15 2022-07-06 1367 HIGHWAY 72, KILLEN, AL, 356459136, US 1367 HIGHWAY 72, KILLEN, AL, 356459136, US

Contacts

Phone +1 256-272-3464

Authorized person

Name DR. JAMES THOMAS GARDINER
Role OWNER
Phone 2563838037

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
Gardiner, James T Agent 110 E. 5th StreetTuscumbia, AL 35674

Organizer

Name Role Address
Hughston, Jameson Organizer 406 West Avalon AvenueMuscle Shoals, AL 35661

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State