| Name: | West Madison Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Jan 2023 (2 years ago) |
| Entity Number: | 001-055-647 |
| Register Number: | 001055647 |
| County: | Limestone |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 104 Stillmeadow DriveMadison, AL 35756 |
| Registered Office Street Address ZIP Code: | 35756 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184323040 | 2023-03-01 | 2023-03-01 | 104 STILLMEADOW DR, MADISON, AL, 357566100, US | 10871 COUNTY LINE RD STE A, MADISON, AL, 357583668, US | |||||||||||||
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| Phone | +1 256-724-3530 |
Authorized person
| Name | ANDREW HENNINGER |
| Role | SOLE MEMBER |
| Phone | 2566172067 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Henninger, Andrew D | Agent |
| Name | Role | Address |
|---|---|---|
| Jon J Rutledge, LLC | Organizer | 300 Vestavia Parkway, Suite 2300Birmingham, AL 35216 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
