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Genesis Dental Group Liberty Park, P.C.

Details

Name: Genesis Dental Group Liberty Park, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 02 Jun 2017 (7 years ago)
Date of dissolution: 30 Dec 2023
Entity Number: 000-393-110
Register Number: 000393110
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: 10,000
Paid Share Capital: $0.001/SHARE

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255860045 2017-06-06 2017-06-06 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US 8000 LIBERTY PKWY STE 126, VESTAVIA, AL, 352427565, US

Contacts

Phone +1 334-676-2320
Fax 3345932724
Phone +1 205-879-6880

Authorized person

Name MRS. PAT HOLT
Role ADMINISTRATOR
Phone 3346762320

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Director

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

Agent

Name Role
GENESIS DENTAL GROUP P.C. Agent

Incorporator

Name Role Address
STEINEKER, ART Incorporator 4730 WOODMERE BLVDMONTGOMERY, AL 36101

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State