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Bluff Park Dental PLLC

Details

Name: Bluff Park Dental PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 26 Apr 2023 (2 years ago) (Companies founded in April 2023)
Entity Number: 001-076-153
Register Number: 001076153
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 2161 Clearbrook RdHoover, AL 35226

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225712599 2023-06-14 2023-06-14 2161 CLEARBROOK RD, HOOVER, AL, 352261520, US 2161 CLEARBROOK RD, HOOVER, AL, 352261520, US

Contacts

Phone +1 205-823-2577

Authorized person

Name DR. WILLIAM ANDREW CLINGAN
Role DOCTOR/ OWNER
Phone 2058232577

Taxonomy

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

Agent

Name Role Address
Clingan, William A Agent 3103 Sharpsburg Circle, APT 3103Birmingham, AL 35213

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State