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Oxford Orthodontics, LLC

Details

Name: Oxford Orthodontics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Apr 2023 (2 years ago)
Entity Number: 001-076-552
Register Number: 001076552
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 3000 Southlake Park, Ste 200Birmingham, AL 35244
Registered Office Street Address ZIP Code: 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730966805 2023-09-12 2023-09-12 1409 HAMRIC DR E, OXFORD, AL, 362031933, US 1409 HAMRIC DR E, OXFORD, AL, 362031933, US

Contacts

Phone +1 256-285-1506

Authorized person

Name BENJAMIN SAMUELSON
Role OWNER
Phone 2059100143

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Organizer

Name Role Address
Samuelson, Ben E Organizer 3000 Southlake Park, Ste 200Birmingham, AL 35244
Chambliss, Richard B Jr. Organizer 3000 Southlake Park, Ste 200Birmingham, AL 35244

Agent

Name Role Address
Chambliss, Richard B Jr Agent 3000 Southlake Park, Ste 200Birmingham, AL 35244

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State