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Southern Dental Sleep Associates LLC

Details

Name: Southern Dental Sleep Associates LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 03 Oct 2017 (7 years ago)
Date of dissolution: 12 Oct 2021
Entity Number: 000-404-999
Register Number: 000404999
Historical Names: Southern Dental Sleep Specialists LLC
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 4960 VALLEYDALE RD SUITE 100BIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942710983 2017-10-04 2018-05-20 4960 VALLEYDALE RD STE 100, BIRMINGHAM, AL, 352424613, US 4960 VALLEYDALE RD STE 100, BIRMINGHAM, AL, 35242, US

Contacts

Phone +1 205-991-2433
Fax 2053800623

Authorized person

Name DR. JAMES DRAYTON SMITH III
Role OWNER
Phone 2059912433

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5024
State AL
Is Primary Yes

Agent

Name Role
SMITH, J D Agent

Organizer

Name Role Address
SHEEDY, BRETT S Organizer 2120 16TH AVENUE SOUTH SUITE 100BIRMINGHAM, AL 35205

Events

Event Date Event Type Old Value New Value
2017-10-10 Name Change Southern Dental Sleep Specialists LLC Southern Dental Sleep Associates LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State