| Name: | N. Bruce Blaum, DMD, MAGD, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 Jan 2012 (13 years ago) |
| Date of dissolution: | 13 May 2021 |
| Entity Number: | 000-036-877 |
| Register Number: | 000036877 |
| ZIP code: | 36532 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 8076 SPRING RUN DRIVEFAIRHOPE, AL 36532 |
Activities
PURCHASE
EXCHANGE
LEASE
HIRE
REAL PROPERTY OF EVERY KIND
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316217649 | 2012-01-03 | 2012-08-14 | PO BOX 1027, MONTROSE, AL, 365591027, US | 8076 SPRING RUN DR, FAIRHOPE, AL, 365323854, US | |||||||||||||||||||||||
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| Phone | +1 251-232-1083 |
| Fax | 8662910167 |
Authorized person
| Name | DR. NORMAN B BLAUM |
| Role | MEMBER |
| Phone | 2512321083 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 4072 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Name | Role |
|---|---|
| BLAUM, N B | Agent |
| Name | Role | Address |
|---|---|---|
| BLAUM, N BRUCE | Organizer | POST OFFICE BOX 1027MONTROSE, AL 36559 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
