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Brandon M. Snell Orofacial Pain Clinic, LLC

Details

Name: Brandon M. Snell Orofacial Pain Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jun 2023 (a year ago) (Companies founded in June 2023)
Entity Number: 001-085-723
Register Number: 001085723
ZIP code: 36330 (Companies in Coffee, 36330)
County: Coffee
Place of Formation: Alabama
Registered Office Street Address: 907 Rucker Blvd.Enterprise, AL 36330

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508546037 2023-07-19 2023-07-19 907 RUCKER BLVD, ENTERPRISE, AL, 363302124, US 907 RUCKER BLVD, ENTERPRISE, AL, 363302124, US

Contacts

Phone +1 334-347-0036

Authorized person

Name DR. BRANDON M SNELL
Role DOCTOR
Phone 3343470036

Taxonomy

Taxonomy Code 1223X2210X - Orofacial Pain Dentist
Is Primary Yes

Agent

Name Role
Snell, Brandon M Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State