| Name: | Bradford B Liles, DMD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Mar 2011 (14 years ago) (Companies founded in March 2011) |
| Date of dissolution: | 22 Nov 2021 |
| Entity Number: | 000-006-631 |
| Register Number: | 000006631 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2090 COLUMBIANA ROAD SUITE 2000BIRMINGHAM, AL 35216 |
| Authorized Capital: | 1,000 @ $1 PV |
| Paid Share Capital: | $100 |
Activities
PROFESSIONAL SERVICES OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649670936 | 2014-08-25 | 2014-08-25 | 5721 HIGHWAY 90 STE A, THEODORE, AL, 365823601, US | 5721 HIGHWAY 90 STE A, THEODORE, AL, 365823601, US | |||||||||||||||||||
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| Phone | +1 251-653-1300 |
| Fax | 2516531242 |
Authorized person
| Name | BRADFORD BOWEN LILES |
| Role | OWNER/DENTIST |
| Phone | 2516531300 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5762 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| LILES, BRADFORD B | Director | 2361 WILDWOOD DRIVEMONTGOMERY, AL 36111 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
