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TH Tuscumbia, PLLC

Details

Name: TH Tuscumbia, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 26 May 2022 (2 years ago)
Entity Number: 001-022-036
Register Number: 001022036
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 110 E 5th StreetTuscumbia, AL 35674
Registered Office Street Address ZIP Code: 35674

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144951328 2022-06-20 2022-07-06 PO BOX 740979, TUSCUMBIA, AL, 356747423, US 115 E 5TH ST, TUSCUMBIA, AL, 356742409, US

Contacts

Phone +1 256-383-8037
Phone +1 256-320-5778
Fax 2568262923

Authorized person

Name MRS. CHRISTYN SHIELDS
Role CONTROLLER
Phone 2563205903

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role
Gardiner, James DMD Agent

Organizer

Name Role Address
Sage, Joshua W Organizer 402 Enterprise DriveOxford, MS 38655

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State