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Ballard Endo, LLC

Details

Name: Ballard Endo, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Sep 2023 (a year ago) (Companies founded in September 2023)
Entity Number: 001-097-831
Register Number: 001097831
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1771 Independence Ct., #3Vestavia Hills, AL 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588437032 2023-11-06 2023-11-06 1771 INDEPENDENCE CT STE 4, VESTAVIA HILLS, AL, 352161232, US 1771 INDEPENDENCE CT STE 4, VESTAVIA HILLS, AL, 352161232, US

Contacts

Phone +1 205-414-1499
Fax 2054148244

Authorized person

Name DR. JAMES FLETCHER BALLARD
Role OWNER/ENDODONTIST
Phone 2054141499

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

Agent

Name Role
HighFive Endodontics, P.C. Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State