| Name: | Indian Springs Pediatric Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 May 2013 (12 years ago) |
| Entity Number: | 000-270-779 |
| Register Number: | 000270779 |
| ZIP code: | 35203 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2100 FIRST AVENUE NORTH, SUITE 600BIRMINGHAM, AL 35203 |
Activities
DENTISTRY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881020857 | 2013-09-22 | 2013-09-22 | 6496 QUAIL RUN DR, PELHAM, AL, 351243104, US | 6496 QUAIL RUN DR, PELHAM, AL, 351243104, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-739-7773 |
Authorized person
| Name | DR. ROSALYNN YVETTE CRAWFORD-MCKENDALL |
| Role | MEMBER |
| Phone | 2057397773 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEE, BRANDY M | Organizer | 2100 1ST AVE N LANDMARK CTR STE 600BIRMINGHAM, AL 35203 |
| MCKENDALL-CRAWFORD, ROSALYN | Organizer | 6496 QUAIL RUN DRIVEPELHAM, AL 35124 |
| Name | Role | Address |
|---|---|---|
| LEE, BRANDY M | Agent | 2100 1ST AVE N LANDMARK CTR STE 600BIRMINGHAM, AL 35203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
