| Name: | Decatur Dental Center LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 Mar 2008 (17 years ago) |
| Date of dissolution: | 11 Mar 2010 |
| Entity Number: | 000-417-216 |
| Register Number: | 000417216 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 2112-A DANVILLE RD SWDECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
Activities
PROFESSIONAL DENTAL SERVICES/SELL RELATED PRODUCTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689769069 | 2006-10-03 | 2020-08-22 | 2112A DANVILLE RD., SW, DECATUR, AL, 35601, US | 2112A DANVILLE RD., SW, DECATUR, AL, 35601, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-353-8696 |
| Fax | 2563537388 |
Authorized person
| Name | JASON SELMAN |
| Role | OWNER |
| Phone | 2563538696 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHAMBLESS, BRANDON | Agent | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| SELMAN, JASON | Member | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
| CHAMBLESS, BRANDON | Member | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
