| Name: | Island Orthodontics, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Oct 1998 (26 years ago) |
| Entity Number: | 000-198-448 |
| Register Number: | 000198448 |
| Historical Names: |
Renee Allen Dyken, D.M.D., M.S., P.C.
Island Orthodontics, P.C. |
| ZIP code: | 36542 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 241 CLUB HOUSE DRIVEGULF SHORES, AL 36542 |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992909600 | 2007-06-14 | 2020-08-22 | 241 CLUBHOUSE DR, GULF SHORES, AL, 365423415, US | 241 CLUBHOUSE DR, GULF SHORES, AL, 365423415, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 251-968-1310 |
| Fax | 2519682036 |
Authorized person
| Name | DR. RENEE ALLEN DYKEN |
| Role | PRESIDENT |
| Phone | 2519681310 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 4630 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DYKEN, RENEE A | Agent | 241 CLUBHOUSE DRIVEGULF SHORES, AL 36542 |
| Name | Role | Address |
|---|---|---|
| OLMSTEAD, CRAIG D | Organizer | 234 OFFICE PARK DRIVEGULF SHORES, AL 36542 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-12-31 | Name Change | Island Orthodontics, P.C. | Island Orthodontics, L.L.C. |
| 2006-01-30 | Name Change | Renee Allen Dyken, D.M.D., M.S., P.C. | Island Orthodontics, P.C. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2718997203 | 2020-04-16 | 0459 | PPP | 241 Clubhouse Dr,, Gulf Shores, AL, 36542-3415 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
