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Clanton Dental Group LLC

Details

Name: Clanton Dental Group LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 24 Mar 2022 (3 years ago) (Companies founded in March 2022)
Entity Number: 001-010-715
Register Number: 001010715
ZIP code: 35045 (Companies in Chilton, 35045)
County: Chilton
Place of Formation: Alabama
Registered Office Street Address: 405 2nd Ave NClanton, AL 35045

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467197277 2022-05-05 2022-05-05 1015 BROCKS GAP PKWY, HOOVER, AL, 352444032, US 405 2ND AVE N, CLANTON, AL, 350453461, US

Contacts

Phone +1 205-982-0112

Authorized person

Name DR. LAUTEN JOHNSON
Role DMD
Phone 2059820112

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role
Johnson, Lauten DMD Agent

Organizer

Name Role Address
Macoy, Mark W Organizer 300 Vestavia Parkway, Suite 2300Vestavia Hills, AL 35216

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State