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Tuscaloosa Dental LLC

Details

Name: Tuscaloosa Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 May 2023 (2 years ago) (Companies founded in May 2023)
Entity Number: 001-081-163
Register Number: 001081163
ZIP code: 36701 (Companies in Dallas, 36701)
County: Dallas
Place of Formation: Alabama
Registered Office Street Address: 430 Mabry StreetSelma, AL 36701

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467143586 2023-05-18 2023-05-18 2425 MEDICAL CENTER PKWY, SELMA, AL, 367017756, US 1402 VETERANS MEMORIAL PKWY, SUITE A & B, TUSCALOOSA, AL, 35404, US

Contacts

Phone +1 334-875-1330

Authorized person

Name BLAIR BENNETT
Role CHIEF OPERATING OFFICER
Phone 3348751330

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
Mosley, David G Mosley Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State