| Name: | Genesis Dental Group Brierfield, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Jul 2016 (8 years ago) |
| Date of dissolution: | 30 Dec 2023 |
| Entity Number: | 000-366-299 |
| Register Number: | 000366299 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 3150 ZELDA COURTMONTGOMERY, AL 36106 |
| Registered Office Street Address ZIP Code: | 36106 |
| Authorized Capital: | 10000 @$.001/PV |
Activities
PROFESSIONAL DENTISTRY PRACTICE/SERVICES/ANCILLARY PURPOSES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760835078 | 2016-07-21 | 2016-07-21 | 19330 HIGHWAY 139, BRIERFIELD, AL, 350353658, US | 19330 HIGHWAY 139, BRIERFIELD, AL, 350353658, US | |||||||||||||||
|
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| Phone | +1 205-665-2723 |
| Fax | 2056651037 |
Authorized person
| Name | MS. SUSAN M STEWART |
| Role | OFFICE MANAGER |
| Phone | 3342812451 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GENESIS DENTAL GROUP P.C. | Agent |
| Name | Role | Address |
|---|---|---|
| STEINEKER, ART | Director | 4730 WOODMERE BLVDMONTGOMERY, AL 36101 |
| DILLON, DARREN | Director | 4730 WOODMERE BLVDMONTGOMERY, AL 36101 |
| LIEUX, DAVID | Director | 3150 ZELDA CTMONTGOMERY, AL 36101 |
| WATERS, FORREST | Director | 3150 ZELDA CTMONTGOMERY, AL 36101 |
| Name | Role | Address |
|---|---|---|
| WATERS, FOREST | Incorporator | 3150 ZELDA CTMONTGOMERY, AL 36101 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
