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Birmingham Emergency Dental LLC

Details

Name: Birmingham Emergency Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Nov 2023 (a year ago) (Companies founded in November 2023)
Entity Number: 001-106-774
Register Number: 001106774
ZIP code: 35210 (Companies in Jefferson, 35210)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 4616 MONTAVALLO RD SUITE 200IRONDALE, AL 35210

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083446025 2024-08-19 2024-08-19 4616 MONTEVALLO RD STE 200, IRONDALE, AL, 352103104, US 4616 MONTEVALLO RD STE 200, IRONDALE, AL, 352103104, US

Contacts

Phone +1 307-315-7301

Authorized person

Name BRENNAN HANSEN
Role OWNER
Phone 3073157301

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
PAULA GOMEZ Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State