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BAYFRONT DENTAL, LLC

Details

Name: BAYFRONT DENTAL, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 07 Dec 2023 (a year ago) (Companies founded in December 2023)
Entity Number: 001-111-079
Register Number: 001111079
ZIP code: 36527 (Companies in Baldwin, 36527)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 8542 BUCKINGHAM CTSPANISH FORT, AL 36527

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457103673 2024-04-02 2024-04-04 6475 JORDAN RD, DAPHNE, AL, 365264728, US 6475 JORDAN RD, DAPHNE, AL, 365264728, US

Contacts

Phone +1 603-545-1958

Authorized person

Name DR. AMBER GLORIA GELINAS
Role GENERAL DENTIST
Phone 6035451958

Taxonomy

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

Agent

Name Role
GELINAS, AMBER G GELINAS Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State