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Rousso Pediatric Dentistry, LLC

Details

Name: Rousso Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 13 Oct 2022 (2 years ago) (Companies founded in October 2022)
Entity Number: 001-044-427
Register Number: 001044427
ZIP code: 35213 (Companies in Jefferson, 35213)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 3862 Cove DriveBirmingham, AL 35213

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457198947 2024-07-11 2024-07-11 2716 18TH PL S STE 100, HOMEWOOD, AL, 352091910, US 2716 18TH PL S STE 100, HOMEWOOD, AL, 352091910, US

Contacts

Phone +1 205-203-0584

Authorized person

Name DR. EMILY ROUSSO
Role PEDIATRIC DENTIST
Phone 2052030584

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Organizer

Name Role Address
Capper, Seth F Organizer 1901 Sixth Avenue North, Suite 1700Birmingham, AL 35203

Agent

Name Role
Rousso, Emily B Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State