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Dental Associates of Sylacauga, LLC

Details

Name: Dental Associates of Sylacauga, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 16 Jul 2018 (6 years ago) (Companies founded in July 2018)
Date of dissolution: 26 Oct 2022
Entity Number: 000-524-293
Register Number: 000524293
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Talladega County
Registered Office Street Address: 499 W 3RD STSYLACAUGA, AL 35150

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093291080 2018-07-13 2018-07-13 1408 7TH AVE SE, DECATUR, AL, 356014216, US 499 W 3RD ST, SYLACAUGA, AL, 351501916, US

Contacts

Phone +1 256-353-5600
Fax 2563518006
Phone +1 256-245-6039

Authorized person

Name DR. SAMUEL GREGORY HAWKINS
Role DENTIST
Phone 2563535600

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4231
State AL
Is Primary Yes

Agent

Name Role Address
HAWKINS, GREG Agent 1408 7TH AVE SEDECATUR, AL 35601

Organizer

Name Role Address
HAWKINS, GREG Organizer 1408 7TH AVE SEDECATUR, AL 35601

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State