| Name: | Central Baldwin Dental Center, P. C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Mar 1993 (32 years ago) |
| Date of dissolution: | 06 Mar 2017 |
| Entity Number: | 000-155-724 |
| Register Number: | 000155724 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | ROBERTSDALE, AL |
| Registered Office Street Address: | 22149 HWY 59ROBERTSDALE, AL 36567 |
| Registered Office Street Address ZIP Code: | 36567 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295907285 | 2008-03-31 | 2008-03-31 | 18100 HWY 104, ROBERTSDALE, AL, 365678734, US | 18100 HIGHWAY 104, ROBERTSDALE, AL, 365678734, US | |||||||||||||||||||
|
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| Phone | +1 251-947-5940 |
| Fax | 2519475942 |
Authorized person
| Name | DR. KEETH M. LANE JR. |
| Role | VICE PRESIDENT |
| Phone | 2519475940 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4306 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LANE, KEETH M JR | Incorporator |
| WINGO, WILLIAM L JR | Incorporator |
| Name | Role |
|---|---|
| WINGO, WILLIAM L JR | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
