Search icon

Charles Elijah Dentistry LLC

Details

Name: Charles Elijah Dentistry LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 07 Feb 2022 (3 years ago) (Companies founded in February 2022)
Entity Number: 001-001-457
Register Number: 001001457
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 2711 Bechet LaneOpelika, AL 36801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760230858 2024-05-13 2024-05-13 318 HEALTHWEST DR, DOTHAN, AL, 363031907, US 318 HEALTHWEST DR, DOTHAN, AL, 363031907, US

Contacts

Phone +1 334-678-1727
Fax 3346781521

Authorized person

Name CHARLES ELIJAH
Role OWNER
Phone 3346781727

Taxonomy

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

Agent

Name Role
Elijah, Charles B Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State