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Double Oak Mountain Family Dentistry, L.L.C.

Details

Name: Double Oak Mountain Family Dentistry, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 27 Mar 2001 (24 years ago)
Date of dissolution: 21 Sep 2009
Entity Number: 000-674-988
Register Number: 000674988
Historical Names: Double Oak Mountain Dentistry, L.L.C.
County: Shelby
Place of Formation: Shelby County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 5510 HIGHWAY 280 SOUTH STE 104BIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568440469 2006-01-03 2020-08-22 5510 HIGHWAY 280, SUITE 104-105, BIRMINGHAM, AL, 352426582, US 5510 HIGHWAY 280, SUITE 104-105, BIRMINGHAM, AL, 352426582, US

Contacts

Phone +1 205-991-8850
Fax 2059918656

Authorized person

Name DR. H. GRADY SWICORD
Role OWNER
Phone 2059918850

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4051
State AL
Is Primary Yes

Member

Name Role
SWICORD, H GRADY Member

Agent

Name Role
SWICORD, GRADY Agent

Events

Event Date Event Type Old Value New Value
2001-05-15 Name Change Double Oak Mountain Dentistry, L.L.C. Double Oak Mountain Family Dentistry, L.L.C.

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State