Name: | Dothan 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: | 001-097-832 |
Register Number: | 001097832 |
ZIP code: | 35216 (Companies in Jefferson, 35216) |
County: | Jefferson |
Place of Formation: | Alabama |
Registered Office Street Address: | 1771 Independence Ct., #3Vestavia Hills, AL 35216 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811760317 | 2023-11-06 | 2023-11-06 | 220 HEALTHWEST DR STE 1, DOTHAN, AL, 363032047, US | 220 HEALTHWEST DR STE 1, DOTHAN, AL, 363032047, US | |||||||||||||||
|
Phone | +1 334-793-7687 |
Fax | 3347930067 |
Authorized person
Name | DR. LEE VAN CARROLL |
Role | OWNER/ENDODONTIST |
Phone | 3347937687 |
Taxonomy
Taxonomy Code | 1223E0200X - Endodontist |
Is Primary | Yes |
Name | Role |
---|---|
HighFive Endodontics, P.C. | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State