| Name: | Huntsville Oral & Maxillofacial Surgery Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 08 Oct 1998 (26 years ago) |
| Date of dissolution: | 30 Dec 2020 |
| Entity Number: | 000-198-309 |
| Register Number: | 000198309 |
| Historical Names: |
Phyllis J. Clark D.D.S., P.C.
|
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2314 PANSY STREETHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $1,000 |
Activities
DOCTOR OF DENTAL SURGERY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386740140 | 2006-09-16 | 2007-08-15 | 2314 PANSY ST SW, HUNTSVILLE, AL, 358013803, US | 2314 PANSY ST SW, HUNTSVILLE, AL, 358013803, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-534-5028 |
| Fax | 2565345073 |
Authorized person
| Name | DR. PHILIP BRENT ELLEDGE |
| Role | OWNER |
| Phone | 2565345028 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | 5313 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ELLEDGE, PHILIP | Agent |
| Name | Role |
|---|---|
| CLARK, PHYLLIS J | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2006-11-22 | Capital Change | $2,000 Authorized $1,000 Paid In | $100 Authorized $1,000 Paid In |
| 2003-07-01 | Name Change | Phyllis J. Clark D.D.S., P.C. | Huntsville Oral & Maxillofacial Surgery Associates, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
