| Name: | Pell City Orthodontics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Apr 2023 (2 years ago) |
| Entity Number: | 001-076-564 |
| Register Number: | 001076564 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 3000 Southlake Park, Ste 200Birmingham, AL 35244 |
| Registered Office Street Address ZIP Code: | 35244 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922885094 | 2023-09-12 | 2023-09-12 | 50 CROPWELL DR # 1, PELL CITY, AL, 351287552, US | 50 CROPWELL DR # 1, PELL CITY, AL, 351287552, US | |||||||||||||
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| Phone | +1 205-564-0426 |
Authorized person
| Name | DR. BENJAMIN SAMUELSON |
| Role | OWNER |
| Phone | 2059100143 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Chambliss, Richard B Jr | Agent | 3000 Southlake Park, Ste 200Birmingham, AL 35244 |
| Name | Role | Address |
|---|---|---|
| Chambliss, Richard B Jr | Organizer | 3000 Southlake Park, Ste 200Birmingham, AL 35244 |
| Samuelson, Ben E | Organizer | 3000 Southlake Park, Ste 200Birmingham, AL 35244 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
