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Auburn Implant Dentistry, LLC

Details

Name: Auburn Implant Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 10 Jun 2022 (2 years ago) (Companies founded in June 2022)
Entity Number: 001-024-511
Register Number: 001024511
ZIP code: 36830 (Companies in Lee, 36830)
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 670 N. College Street, Suite DAuburn, AL 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912633900 2022-08-01 2022-08-02 670 N COLLEGE ST STE D, AUBURN, AL, 368303030, US 670 N COLLEGE ST STE D, AUBURN, AL, 368303030, US

Contacts

Phone +1 334-209-1352

Authorized person

Name DR. BRITANY FABIAN MATIN
Role PERIODONTIST/OWNER
Phone 3342091352

Taxonomy

Taxonomy Code 1223P0300X - Periodontist
Is Primary Yes
Taxonomy Code 1223P0700X - Prosthodontist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN PERIODONTICS RETIREMENT PLAN & TRUST 2023 882863520 2024-07-30 AUBURN IMPLANT DENTISTRY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3344440571
Plan sponsor’s address 670 N. COLLEGE STREET, STE. D, AUBURN, AL, 36830

Organizer

Name Role Address
Matin, Brittany Organizer 670 N. College St., Suite DAuburn, AL 36830

Agent

Name Role
Matin, Britany Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State