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Lagniappe Dental PLLC

Details

Name: Lagniappe Dental PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 27 Apr 2023 (2 years ago) (Companies founded in April 2023)
Entity Number: 001-076-509
Register Number: 001076509
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 866 Onyx LaneFairhope, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699552497 2023-09-13 2023-09-13 106 LOTTIE LN, FAIRHOPE, AL, 365322995, US 106 LOTTIE LN, FAIRHOPE, AL, 365322995, US

Contacts

Phone +1 251-517-3313
Fax 2515173315

Authorized person

Name DR. DAVID THOMAS BRUCE
Role DENTIST/OWNER
Phone 2515173313

Taxonomy

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

Agent

Name Role
Bruce, David T Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State