| Name: | Samantha S McCool, DMD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Aug 2024 (5 months ago) |
| Entity Number: | 001-150-383 |
| Register Number: | 001150383 |
| ZIP code: | 35205 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 605 19th Court SouthBirmingham, AL 35205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376379354 | 2024-09-09 | 2024-09-09 | 2045 BROOKWOOD MEDICAL CTR DR STE 22, HOMEWOOD, AL, 352096809, US | 2045 BROOKWOOD MEDICAL CTR DR STE 22, HOMEWOOD, AL, 352096809, US | |||||||||||||
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| Phone | +1 205-870-9871 |
Authorized person
| Name | DR. SAMANTHA MCCOOL |
| Role | GENERAL DENTIST/OWNER |
| Phone | 2053109179 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Macoy, Mark W | Organizer | 300 Vestavia Parkway, Suite 2300Vestavia Hills, AL 35216 |
| Name | Role |
|---|---|
| McCool, Samantha S DMD | Agent |
Date of last update: 05 Sep 2024
Sources: Alabama Secretary of State
