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Ellis Dentistry, LLC

Details

Name: Ellis Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Feb 2022 (3 years ago)
Entity Number: 001-004-636
Register Number: 001004636
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 1603 Sandlin Avenue SEHuntsville, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053068064 2022-03-09 2022-03-09 1603 SANDLIN AVE SE, HUNTSVILLE, AL, 358012067, US 1101 GLENEAGLES DR SW, HUNTSVILLE, AL, 358016405, US

Contacts

Phone +1 256-881-4441

Authorized person

Name DR. SARAH SCHMIDT ELLIS
Role DENTIST/OWNER
Phone 2568814441

Taxonomy

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

Agent

Name Role Address
Ellis, Sarah Agent 1603 Sandlin Avenue SEHuntsville, AL 35801

Organizer

Name Role Address
Ellis, Sarah Organizer 1603 Sandlin Avenue SEHuntsville, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State