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Elevate Pediatric Dentistry L.L.C.

Details

Name: Elevate Pediatric Dentistry L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Sep 2023 (a year ago) (Companies founded in September 2023)
Entity Number: 001-101-421
Register Number: 001101421
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 344 Nandina LoopFairhope, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104697838 2024-01-11 2024-01-19 344 NANDINA LOOP, FAIRHOPE, AL, 365327909, US 25265 HIGHWAY 181 STE 105, DAPHNE, AL, 365266077, US

Contacts

Phone +1 801-636-2824

Authorized person

Name DR. GAGE WILLIAMS
Role OWNER/OPERATOR
Phone 8016362824

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
Williams, Gage Agent 344 Nandina LoopFairhope, AL 36532

Organizer

Name Role Address
Williams, Gage Organizer 344 Nandina LoopFairhope, AL 36532

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State