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Aultman Dental Leeds, LLC

Details

Name: Aultman Dental Leeds, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 16 Apr 2024 (7 months ago) (Companies founded in April 2024)
Entity Number: 001-131-578
Register Number: 001131578
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 3616 Dunbarton DriveBirmingham, AL 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558110452 2024-05-14 2024-05-14 3616 DUNBARTON DR, MOUNTAIN BRK, AL, 352232888, US 1209 6TH ST, LEEDS, AL, 350942146, US

Contacts

Phone +1 205-531-1843
Phone +1 205-699-2731

Authorized person

Name JAMES ALAN AULTMAN
Role OWNER
Phone 2056992731

Taxonomy

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

Agent

Name Role Address
Aultman, James A Agent 3616 Dunbarton DriveBirmingham, AL 35223

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State