| Name: | Spruce Roots Family Dentistry, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 05 Mar 2019 (6 years ago) |
| Entity Number: | 10101318 |
| ZIP code: | 99709 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 4001 GEIST RD, STE 5, FAIRBANKS, AK 99709 |
Line of Business
62 Health Care and Social AssistanceNAICS
621210 OFFICES OF DENTISTS| Name | Role |
|---|---|
| Heather A Willis, DDS, LLC | Member |
| Jonathan P Woller, DMD, PC | Member |
| Christopher Willis | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2083678 | Business License | Active | 2019-03-06 | 2024-01-31 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 346011810 | 1050210 | 2022-06-08 | 4001 GEIST ROAD 4001 GEIST RD. SUITE 5B, FAIRBANKS, AK, 99709 | |||||||||||
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| 346015522 | 1050210 | 2022-06-08 | 4001 GEIST ROAD SUITE 5, FAIRBANKS, AK, 99709 | |||||||||||
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Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
