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ISBELL DENTAL BLUE PC

Details

Name: ISBELL DENTAL BLUE PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 14 Oct 2015 (9 years ago)
Date of dissolution: 27 Dec 2023
Entity Number: 000-347-043
Register Number: 000347043
County: Etowah
Place of Formation: Etowah County
Principal Address: 241 SOUTH 4TH STREETGADSDEN, AL 35901
Principal Address ZIP Code: 35901
Authorized Capital: 1,000 @ $.10 PV

Activities PRACTICE THE PROFESSION OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417328378 2015-10-16 2015-10-16 241 S 4TH ST, GADSDEN, AL, 359014213, US 3228 RAINBOW DR, RAINBOW CITY, AL, 359065804, US

Contacts

Phone +1 256-547-3589
Phone +1 256-442-1797

Authorized person

Name DR. GORDON R ISBELL III
Role PRESIDENT
Phone 2565473589

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3678
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISBELL DENTAL BLUE, PC PROFIT SHARING PLAN 2022 475294857 2023-03-15 ISBELL DENTAL BLUE, PC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2565473589
Plan sponsor’s address 241 S 4TH STREET, GADSDEN, AL, 359014213

Agent

Name Role Address
ISBELL, GORDON R III Agent 241 SOUTH 4TH STREETGADSDEN, AL 35901

Director

Name Role Address
ISBELL, GORDON R III Director 241 SOUTH 4TH STREETGADSDEN, AL 35901
ISBELL, GORDON R IV Director 241 SOUTH 4TH STREETGADSDEN, AL 35901

Incorporator

Name Role Address
ISBELL, GORDON R III Incorporator 241 SOUTH 4TH STREETGADSDEN, AL 35901

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State