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Chad Taylor, DMD,P.C.

Details

Name: Chad Taylor, DMD,P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 06 Jun 2011 (13 years ago)
Date of dissolution: 26 Mar 2018
Entity Number: 000-015-466
Register Number: 000015466
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 3499 COOKS MOORE RDTRUSSVILLE, AL 35173
Principal Address ZIP Code: 35173
Authorized Capital: 10000 @ $1.00PV
Paid Share Capital: $1,000

Activities PROFESSIONAL PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649539859 2012-05-08 2012-05-08 3499 COOKS MOORE RD, TRUSSVILLE, AL, 351733114, US 2462 OLD SPRINGVILLE RD, BIRMINGHAM, AL, 352154056, US

Contacts

Phone +1 205-853-8080
Fax 2058538990

Authorized person

Name RONALD C TAYLOR
Role PRESIDENT
Phone 2058538080

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5834
State AL
Is Primary Yes

Agent

Name Role Address
DR. CHAD TAYLOR DMD Agent 3499 COOKS MOORE RDTRUSSVILLE, AL 35173

Director

Name Role Address
DR. CHAD TAYLOR DMD Director 3499 COOKS MOORE RDTRUSSVILLE, AL 35173

Incorporator

Name Role Address
DR CHAD TAYLOR DMD Incorporator 3499 COOKS MOORE RDTRUSSVILLE, AL 35173

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State