| Name: | Southern Smiles Dental Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Sep 2022 (2 years ago) |
| Entity Number: | 001-076-245 |
| Register Number: | 001076245 |
| County: | Houston |
| Place of Formation: | Delaware |
| Registered Office Street Address: | 302 Royal ParkwayDothan, AL 36305 |
| Registered Office Street Address ZIP Code: | 36305 |
| Principal Address: | 2001 Alexander Dr.Dothan, AL 36301 |
| Principal Address ZIP Code: | 36301 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780385021 | 2023-03-14 | 2023-03-14 | 302 ROYAL PKWY, DOTHAN, AL, 363056944, US | 2001 ALEXANDER DR, DOTHAN, AL, 363013003, US | |||||||||||||||
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| Phone | +1 334-661-7671 |
| Phone | +1 334-794-0348 |
Authorized person
| Name | MR. CARL HAYNIE III |
| Role | OWNER |
| Phone | 3346617671 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Haynie, Carl S III | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
