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Smilecreator of Alabama, LLC

Details

Name: Smilecreator of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Mar 2023 (2 years ago)
Entity Number: 001-067-831
Register Number: 001067831
County: Tallapoosa
Place of Formation: Alabama
Registered Office Street Address: 191 Herren Camp RoadDadeville, AL 36853
Registered Office Street Address ZIP Code: 36853

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952099111 2023-04-26 2023-04-26 191 HERREN CAMP RD, DADEVILLE, AL, 368536719, US 191 HERREN CAMP RD, DADEVILLE, AL, 368536719, US

Contacts

Phone +1 256-373-8333

Authorized person

Name NILO HERNANDEZ
Role DOCTOR/AUTHORIZED OFFICIAL
Phone 2563738333

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No

Agent

Name Role Address
Hernandez, Nilo A Jr Agent 191 Herren Camp RoadDadeville, AL 36853

Organizer

Name Role Address
Hernandez, Nilo A Jr Organizer 191 Herren Camp RoadDadeville, AL 36853

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State