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JARVIS DENTAL PLLC

Details

Name: JARVIS DENTAL PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 11 Oct 2022 (2 years ago) (Companies founded in October 2022)
Entity Number: 001-044-074
Register Number: 001044074
ZIP code: 36066 (Companies in Autauga, 36066)
County: Autauga
Place of Formation: Alabama
Registered Office Street Address: 2580 COBBS FORD ROADPRATTVILLE, AL 36066

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083331615 2022-10-25 2022-10-25 PO BOX 3189, SYRACUSE, NY, 132203189, US 2580 COBBS FORD RD, PRATTVILLE, AL, 360667749, US

Contacts

Phone +1 334-285-5688

Authorized person

Name ELLEN JARVIS
Role OWNER
Phone 3342855688

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
ELLEN, JARVIS R. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State