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Southeastern-OMS, LLC

Details

Name: Southeastern-OMS, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Jan 2024 (10 months ago)
Entity Number: 001-118-436
Register Number: 001118436
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609615871 2024-05-20 2024-05-20 216 HEALTHWEST DR, DOTHAN, AL, 363031942, US 216 HEALTHWEST DR, DOTHAN, AL, 363031942, US

Contacts

Phone +1 334-792-2880
Fax 3347120202

Authorized person

Name DR. GREGORY C BESS
Role ORAL SURGEON/OWNER
Phone 3347922880

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State