| Name: | Genesis Dental Group Opelika, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Dec 2016 (8 years ago) (Companies founded in December 2016) |
| Date of dissolution: | 30 Dec 2023 |
| Entity Number: | 000-377-514 |
| Register Number: | 000377514 |
| ZIP code: | 36101 (Companies in Montgomery, 36101) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 3150 ZELDA COURTMONTGOMERY, AL 36106 |
| Principal Address: | 4730 WOODMERE BOULEVARDMONTGOMERY, AL 36101 |
| Authorized Capital: | 10,000@$0.001PV |
Activities
CORPORATION FORMED
RENDERING PROFESSIONAL DENTISTRY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306382767 | 2017-01-10 | 2017-01-10 | 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US | 1995 PEPPERELL PKWY, SUITE1, OPELIKA, AL, 368015460, US | |||||||||||||||
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| Phone | +1 334-281-2451 |
| Fax | 3342811087 |
Authorized person
| Name | DR. FORREST E WATERS III |
| Role | OWNER/TREASURER |
| Phone | 3342812451 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LIEUX, DAVID | Incorporator | 3150 ZELDA CTMONTGOMERY, AL 36101 |
| WATERS, FORREST | Incorporator | 3150 ZELDA CTMONTGOMERY, AL 36101 |
| DILLION, DARREN | Incorporator | 4730 WOODMERE BLVDMONTGOMERY, AL 36101 |
| Name | Role |
|---|---|
| GENESIS DENTAL GROUP P.C. | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
