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Russ Dentistry, LLC

Details

Name: Russ Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Jan 2023 (2 years ago) (Companies founded in January 2023)
Entity Number: 001-057-293
Register Number: 001057293
ZIP code: 35630 (Companies in Lauderdale, 35630)
County: Lauderdale
Place of Formation: Alabama
Registered Office Street Address: 1801 Shenandoah RoadFlorence, AL 35630

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760261648 2023-09-28 2023-09-28 1906 BRUIN DR, FLORENCE, AL, 356306717, US 1906 BRUIN DR, FLORENCE, AL, 356306717, US

Contacts

Phone +1 256-764-6677
Fax 2567640340

Authorized person

Name CHRISTIAN LAWRENCE RUSS
Role OWNER/DENTIST
Phone 2567646677

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
Russ, Christian Agent

Organizer

Name Role Address
Russ, Matthew Organizer 655 Gallatin Street SWHuntsville, AL 35801

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State