| Name: | Sage Dental of Gardendale, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Jun 2024 (4 months ago) |
| Entity Number: | 001-142-814 |
| Register Number: | 001142814 |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881430478 | 2024-07-03 | 2024-07-03 | 6600 CONGRESS AVE STE 150, BOCA RATON, FL, 334871213, US | 655 FIELDSTOWN RD, GARDENDALE, AL, 350712411, US | |||||||||||||
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| Phone | +1 205-386-3041 |
Authorized person
| Name | CINDY ROARK |
| Role | SVP & CHIEF CLINICAL OFFICER |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
| Name | Role | Address |
|---|---|---|
| Marks, David | Organizer | 511 Union Street, Suite 2700Nashville, TN 37219 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
