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Premiere Dental LLC

Details

Name: Premiere Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Dec 2012 (12 years ago)
Entity Number: 000-271-948
Register Number: 000271948
ZIP code: 35810
County: Madison
Place of Formation: Madison County
Principal Address: 5045 NORTH MEMORIAL PARKWAY STE DHUNTSVILLE, AL 35810

Activities DENTAL OFFICE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CAPAJWEDCUV2 2022-07-24 5045 MEMORIAL PKWY NW, HUNTSVILLE, AL, 35810, 1077, USA P.O BOX 11201, HUNTSVILLE, AL, 35814, USA

Business Information

Doing Business As PREMIERE DENTAL
URL Www.premieredentalspa.com
Division Name PREMIERE DENTAL
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2021-06-28
Initial Registration Date 2021-06-24
Entity Start Date 2012-12-28
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TENESHIA DANIELS
Role DR.
Address P.O BOX 11201, HUNTSVILLE, AL, 35614, USA
Government Business
Title PRIMARY POC
Name TENESHIA DANIELS
Role DR.
Address P.O. BOX 11201, HUNTSVILLE, AL, 35814, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598003865 2013-01-22 2021-01-25 5045 MEMORIAL PKWY NW, HUNTSVILLE, AL, 358101077, US 5045 MEMORIAL PKWY NW, HUNTSVILLE, AL, 358101077, US

Contacts

Phone +1 601-880-6424

Authorized person

Name DR. TENESHIA E DANIELS
Role DENTIST
Phone 2564696428

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number AL5820
State AL
Is Primary Yes

Agent

Name Role
ACKLIN, TENESHA Agent

Organizer

Name Role
ACKLIN, TENESHA Organizer

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State