| Name: | Haleigh S. Blackwell, DMD, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 15 Jun 2011 (13 years ago) (Companies founded in June 2011) |
| Date of dissolution: | 18 Oct 2022 |
| Entity Number: | 000-016-170 |
| Register Number: | 000016170 |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2501 20TH PLACE S STE 225BIRMINGHAM, AL |
| Authorized Capital: | 1,000 @ .01 PV |
Activities
PROFESSIONAL DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174804058 | 2011-09-06 | 2014-08-08 | 3145 GREEN VALLEY RD, SUITE 101, VESTAVIA, AL, 352435256, US | 3145 GREEN VALLEY RD, SUITE 101, VESTAVIA, AL, 352435256, US | |||||||||||||||||||
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| Phone | +1 205-970-7292 |
| Fax | 2056233036 |
Authorized person
| Name | DR. HALEIGH STIDHAM BLACKWELL |
| Role | PRESIDENT |
| Phone | 2059707292 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5852 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLACKWELL, HALEIGH S | Agent | 2501 20TH PLACE S STE 225BIRMINGHAM, AL |
| Name | Role | Address |
|---|---|---|
| BLACKWELL, HALEIGH S | Director | 2501 20TH PLACE S STE 225BIRMINGHAM, AL |
| Name | Role | Address |
|---|---|---|
| ANDERSON, BRAD S | Incorporator | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
