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Geise Dental at Clift Farm, LLC

Details

Name: Geise Dental at Clift Farm, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Aug 2024 (3 months ago) (Companies founded in August 2024)
Entity Number: 001-149-857
Register Number: 001149857
ZIP code: 35756 (Companies in Limestone, 35756)
County: Limestone
Place of Formation: Alabama
Registered Office Street Address: 138 Oak Manor LaneMadison, AL 35756

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578396453 2024-08-26 2024-08-26 138 OAK MANOR LN, MADISON, AL, 357564813, US 351 JOHN HENRY WAY, MADISON, AL, 357579602, US

Contacts

Phone +1 205-331-9229
Phone +1 256-881-7080

Authorized person

Name DR. JAMES T GEISE
Role OWNER/MANAGER
Phone 2053319229

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
Geise, James T Agent 138 Oak Manor LaneMadison, AL 35756

Organizer

Name Role Address
Geise, James T Organizer 138 Oak Manor LaneMadison, AL 35756
Geise, Diane L Organizer 138 Oak Manor LaneMadison, AL 35756

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State