| Name: | Josh Headley DMD LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Sep 2024 (4 months ago) |
| Entity Number: | 001-153-240 |
| Register Number: | 001153240 |
| ZIP code: | 35203 |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 17 20th Street North Suite 200Birmingham, AL 35203 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689401523 | 2024-09-16 | 2024-09-26 | 4755 LIBERTY PARK LN, VESTAVIA, AL, 352422255, US | 4643 CAMP COLEMAN RD STE 125, TRUSSVILLE, AL, 351732838, US | |||||||||||||||||||
|
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| Phone | +1 256-504-8250 |
| Phone | +1 205-774-1823 |
Authorized person
| Name | DR. JOSHUA RAY HEADLEY |
| Role | DENTIST |
| Phone | 2565048250 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Headley, Joshua R | Organizer | 4755 Liberty Park LaneVestavia, AL 35242 |
| Name | Role |
|---|---|
| Morano, Spence | Agent |
Date of last update: 10 Sep 2024
Sources: Alabama Secretary of State
