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Adams Southern Dental Arts, LLC

Details

Name: Adams Southern Dental Arts, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 30 Mar 2021 (4 years ago)
Date of dissolution: 02 Jan 2024
Entity Number: 000-843-912
Register Number: 000843912
ZIP code: 35213
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 15 Montevallo LaneMountain Brook, AL 35213

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114594934 2021-06-09 2021-06-09 2045 BROOKWOOD MEDICAL CTR DR STE 6, HOMEWOOD, AL, 352096809, US 2045 BROOKWOOD MEDICAL CTR DR STE 6, HOMEWOOD, AL, 352096809, US

Contacts

Phone +1 205-326-7444
Fax 2056371933

Authorized person

Name DR. PRESTON ADAMS
Role DENTIST
Phone 2053267444

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
Adams, Preston Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State