| Name: | Hueytown Family Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Oct 2018 (6 years ago) |
| Entity Number: | 000-533-584 |
| Register Number: | 000533584 |
| ZIP code: | 35180 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 205 CALDWELL DRIVEWARRIOR, AL 35180 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467937466 | 2018-09-26 | 2018-09-26 | 205 CALDWELL DR, WARRIOR, AL, 351801407, US | 3098 ALLISON BONNETT MEMORIAL DR, BESSEMER, AL, 350232233, US | |||||||||||||||||||
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| Phone | +1 205-645-3181 |
| Fax | 2056471134 |
| Phone | +1 205-491-2161 |
| Fax | 2054912198 |
Authorized person
| Name | DR. ADAM BLAKE GRAHAM |
| Role | INSURANCE DEPARTMENT MANAGER |
| Phone | 2056473181 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GRAHAM, ADAM | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
