| Name: | Patriot Dental - Snead LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 May 2024 (5 months ago) |
| Entity Number: | 001-138-581 |
| Register Number: | 001138581 |
| County: | Marshall |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 5017 Webb AvenueGuntersville, AL 35976 |
| Registered Office Street Address ZIP Code: | 35976 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083445571 | 2024-08-08 | 2024-08-08 | PO BOX 627, SNEAD, AL, 359520627, US | 88223 US HIGHWAY 278, SNEAD, AL, 359529643, US | |||||||||||||||
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| Phone | +1 205-466-7188 |
| Fax | 2054668188 |
Authorized person
| Name | DR. KENNETH LUCKIE VANDERVOORT JR. |
| Role | OWNER |
| Phone | 2054667188 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Vandervoort, Kenneth L Jr | Agent | 5017 Webb AvenueGuntersville, AL 35976 |
| Name | Role | Address |
|---|---|---|
| Wright, Wade K Jr | Organizer | P O Box 70Guntersville, AL 35976 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
