| Name: | Palmetto Creek Dental, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Jan 2001 (24 years ago) |
| Date of dissolution: | 03 Oct 2016 |
| Entity Number: | 000-214-243 |
| Register Number: | 000214243 |
| Historical Names: |
Spanish Fort Dental Care, P.C.
|
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | LILLIAN, AL |
| Registered Office Street Address: | 12658 SANTA PIEDRO STLILLIAN, AL 36549 |
| Registered Office Street Address ZIP Code: | 36549 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073731113 | 2007-04-23 | 2007-10-18 | 6593 SPANISH FORT BLVD, SPANISH FORT, AL, 365275015, US | 6593 SPANISH FORT BLVD, SPANISH FORT, AL, 365275015, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 251-626-6809 |
| Fax | 2516210801 |
Authorized person
| Name | DR. GARY L. FISHBEIN |
| Role | OWNER |
| Phone | 2526266891 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 3585 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FISHBEIN, GARY L | Agent |
| Name | Role |
|---|---|
| FISHBEIN, GARY L | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2007-08-22 | Name Change | Spanish Fort Dental Care, P.C. | Palmetto Creek Dental, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
