Search icon

Sage Dental of Vestavia Hills, PLLC

Details

Name: Sage Dental of Vestavia Hills, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 27 Jun 2024 (5 months ago) (Companies founded in June 2024)
Entity Number: 001-142-816
Register Number: 001142816
ZIP code: 36105 (Companies in Montgomery, 36105)
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36105

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346086931 2024-07-03 2024-07-03 6600 CONGRESS AVE STE 150, BOCA RATON, FL, 334871213, US 3066 HEALTHY WAY STE 116, VESTAVIA, AL, 352432464, US

Contacts

Phone +1 561-999-9650
Phone +1 205-383-3703

Authorized person

Name CINDY ROARK
Role SVP & CHIEF CLINICAL OFFICER
Phone 5619999650

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
C T Corporation System Agent

Organizer

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