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Point Clear Dental Assoc, LLC

Details

Name: Point Clear Dental Assoc, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 May 2023 (2 years ago) (Companies founded in May 2023)
Entity Number: 001-077-745
Register Number: 001077745
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 108 Professional Park Drive / Attn Dr. John Green,Fairhope, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033899075 2023-07-24 2023-07-24 18157 WRIGHT BLVD, FAIRHOPE, AL, 365327335, US 18157 WRIGHT BLVD, FAIRHOPE, AL, 365327335, US

Contacts

Phone +1 251-928-0620

Authorized person

Name JOHN C GREEN
Role OWNER
Phone 2519280620

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
Green, John C Agent

Organizer

Name Role Address
Barnett, Ryan M Organizer 801 West Romana StreetPensacola, FL 32502

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State