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The Grove Dentistry, LLC

Details

Name: The Grove Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Dec 2023 (a year ago) (Companies founded in December 2023)
Entity Number: 001-110-589
Register Number: 001110589
ZIP code: 36545 (Companies in Clarke, 36545)
County: Clarke
Place of Formation: Alabama
Registered Office Street Address: 1460 McVay RoadJackson, AL 36545

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750151361 2024-01-04 2024-01-04 PO BOX 879, GROVE HILL, AL, 364510879, US 297C S JACKSON ST, GROVE HILL, AL, 364513231, US

Contacts

Phone +1 251-275-3822

Authorized person

Name ANDREA JOHNSON
Role DENTIST/OWNER
Phone 2512753822

Taxonomy

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

Agent

Name Role Address
Johnson, Andrea Agent 1101 McMurtrie DriveHuntsville, AL 35806

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State