| Name: | Carrie Randolph DDS Inc. |
| Jurisdiction: | Alaska |
| Legal type: | Business Corporation |
| Status: | Good Standing |
| Date of registration: | 27 Jun 2016 (9 years ago) |
| Entity Number: | 10039580 |
| ZIP code: | 99615 |
| County: | Kodiak Island |
| Place of Formation: | ALASKA |
| Address: | 1517 MILL BAY ROAD, KODIAK, AK 99615 |
| Mailing Address: | 1515 A. MILL BAY ROAD, KODIAK, AK 99615 |
| Supporting healthcare providers fighting with COVID-19: | $15,979 |
Line of Business
62 Health Care and Social AssistanceNAICS
621210 OFFICES OF DENTISTS| Name | Role |
|---|---|
| Tyler Randolph | Secretary |
| Tyler Randolph | Shareholder |
| Tyler Randolph | Vice President |
| Tyler Randolph | Treasurer |
| Carrie Randoph | Director |
| Carrie Randoph | President |
| Carrie Randoph | Shareholder |
| Carrie Randolph | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1043470 | Business License | Active | 2016-10-06 | 2024-11-06 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| DEND1346 | Dental | Dentist | Active | 2010-07-15 | 2023-01-25 | 2025-02-28 |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
