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Mission Dental Mobile LLC

Details

Name: Mission Dental Mobile LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Dec 2023 (a year ago)
Entity Number: 001-111-091
Register Number: 001111091
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1700 6th Avenue NorthBessemer, AL 35020
Registered Office Street Address ZIP Code: 35020

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205694932 2024-03-07 2024-03-18 1700 6TH AVE N, BESSEMER, AL, 350204849, US 1700 6TH AVE N, BESSEMER, AL, 350204849, US

Contacts

Phone +1 205-434-2031

Authorized person

Name DR. MICHAEL MCCRACKEN
Role DIRECTOR
Phone 2055879486

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
Lanier, Katlin R Dental Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State