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Ansley P Allen, DMD LLC

Details

Name: Ansley P Allen, DMD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 May 2024 (6 months ago) (Companies founded in May 2024)
Entity Number: 001-137-651
Register Number: 001137651
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Alabama
Registered Office Street Address: 1411 Birmingham AvenueJasper, AL 35501

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518709476 2024-06-11 2024-06-11 20 MEDICAL CENTER DR STE 200, JASPER, AL, 355013428, US 20 MEDICAL CENTER DR STE 200, JASPER, AL, 355013428, US

Contacts

Phone +1 205-384-6000

Authorized person

Name DR. ANSLEY P ALLEN
Role OWNER
Phone 2055220572

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
Allen, Ansley P Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State