| Name: | Liberty Park Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Jun 2018 (6 years ago) |
| Entity Number: | 000-520-713 |
| Register Number: | 000520713 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 3508 SPRINGHILL ROADMOUNTAIN BROOK, AL 35223 |
| Principal Address ZIP Code: | 35223 |
| Registered Office Street Address: | 2090 COLUMBIANA ROAD SUITE 2000BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | 1,000 @ $1/PV |
| Paid Share Capital: | $100 |
Activities
PROVIDE PROFESSIONAL SERVICES OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124505599 | 2018-07-27 | 2018-07-27 | 3508 SPRINGHILL RD, MOUNTAIN BRK, AL, 352232013, US | 8000 LIBERTY PKWY STE 126, VESTAVIA, AL, 352427565, US | |||||||||||||||||||
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| Phone | +1 205-602-4533 |
| Phone | +1 205-413-8116 |
Authorized person
| Name | DR. ANDREA NUNES |
| Role | PRESIDENT |
| Phone | 2056024533 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5514 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| NUNES, ANDREA | Director | 3508 SPRINGHILL ROADMOUNTAIN BROOK, AL 35213 |
| FERREIRA, ANDRE | Director | 3508 SPRINGHILL ROADMOUNTAIN BROOK, AL 35213 |
| Name | Role | Address |
|---|---|---|
| NUNES, ANDREA | Incorporator | 3508 SPRINGHILL ROADMOUNTAIN BROOK, AL 35213 |
| FERREIRA, ANDRE | Incorporator | 3508 SPRINGHILL ROADMOUNTAIN BROOK, AL 35213 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
