| Name: | Pike Road Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 May 2018 (7 years ago) |
| Entity Number: | 000-519-317 |
| Register Number: | 000519317 |
| ZIP code: | 36064 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 31 BRIDGE STREETPIKE ROAD, AL 36064 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053806331 | 2018-06-28 | 2018-07-09 | 31 BRIDGE ST, PIKE ROAD, AL, 360643843, US | 31 BRIDGE ST, PIKE ROAD, AL, 36064, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-819-7377 |
| Fax | 3348197379 |
Authorized person
| Name | MRS. YOLANDA WALTERS |
| Role | OFFICE MANAGER |
| Phone | 3348197377 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5159 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WELLS, VICTORIA A | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON, D KYLE | Organizer | 150 S PERRY STMONTGOMERY, AL 36104 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
