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