| Name: | Brocks Gap Dental Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Mar 2019 (6 years ago) (Companies founded in March 2019) |
| Entity Number: | 000-547-191 |
| Register Number: | 000547191 |
| Historical Names: |
Brocks Gap Dental Group, Inc.
|
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2090 COLUMBIAN ROAD STE 2000BIRMINGHAM, AL 35216 |
| Principal Address: | 1015 BROCKS GAP PKWYHOOVER, AL 35244 |
Activities
TO OWN AND OPERATE A DENTAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134787260 | 2019-06-04 | 2019-06-04 | 1015 BROCKS GAP PKWY, HOOVER, AL, 352444032, US | 1015 BROCKS GAP PKWY, HOOVER, AL, 352444032, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-982-0112 |
Authorized person
| Name | JOEY WEST |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 2059820112 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Organizer | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-05-09 | Name Change | Brocks Gap Dental Group, Inc. | Brocks Gap Dental Group, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
