| Name: | Dr. Samuel L. Johnson, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 24 Sep 2013 (11 years ago) (Companies founded in September 2013) |
| Date of dissolution: | 12 Apr 2021 |
| Entity Number: | 000-288-169 |
| Register Number: | 000288169 |
| ZIP code: | 36695 (Companies in Mobile, 36695) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 740 HILLCREST ROAD #2BMOBILE, AL 36695 |
Activities
OWN/MANAGE/CONDUCT PROFESSIONAL SERVICES INCLUDING DENTAL CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992853337 | 2007-01-08 | 2016-02-17 | 740 HILLCREST RD STE 2B, MOBILE, AL, 366954021, US | 740 HILLCREST RD STE 2B, MOBILE, AL, 366954021, US | |||||||||||||||||||||||||||
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| Phone | +1 251-639-0911 |
| Fax | 2516337889 |
Authorized person
| Name | DR. SAMUEL L. JOHNSON |
| Role | CEO |
| Phone | 2516390911 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4049 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5453C |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SAMUEL L | Agent | 740 HILLCREST ROAD #2BMOBILE, AL 36695 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SAMUEL L | Organizer | 740 HILLCREST ROAD #2BMOBILE, AL 36695 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
