| Name: | Brookwood Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 21 Apr 2016 (9 years ago) (Companies founded in April 2016) |
| Date of dissolution: | 23 Oct 2017 |
| Entity Number: | 000-361-108 |
| Register Number: | 000361108 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2940 CLAIRMONT AVE SBIRMINGHAM, AL 35205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730539594 | 2016-06-13 | 2016-06-13 | 2045 MEDICAL CENTER DR, SUITE 2, BIRMINGHAM, AL, 352096874, US | 2045 MEDICAL CENTER DR, SUITE 2, BIRMINGHAM, AL, 352096874, US | |||||||||||||||||
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| Phone | +1 205-871-3523 |
Authorized person
| Name | DR. CELIA WILLIAMS DAVENPORT |
| Role | MANAGER |
| Phone | 2058713523 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 6067 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DAVENPORT, CELIA W | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSTON, BRICE M | Organizer | 2100 FIRST AVENUE N STE 600BIRMINGHAM, AL 35203 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
