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PDA Calera, LLC

Details

Name: PDA Calera, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Apr 2024 (9 months ago)
Entity Number: 001-133-479
Register Number: 001133479
ZIP code: 35226
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 5564 Grove Boulevard Ste AHoover, AL 35226

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679320899 2024-05-06 2024-05-06 50 CROPWELL DR STE 2, PELL CITY, AL, 351287552, US 101 HIGHWAY 87 BLDG 100, CALERA, AL, 350407203, US

Contacts

Phone +1 678-628-8303
Fax 2562851485

Authorized person

Name RICAHRD BAKER CHAMBLISS
Role OWNER/ DENTIST
Phone 2054530314

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
Samuelson, Ben E Agent 3000 Southlake Park, Ste 200Birmingham, AL 35244

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State