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Orthodontics West, P.C.

Details

Name: Orthodontics West, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 30 May 2003 (22 years ago)
Date of dissolution: 26 Apr 2022
Entity Number: 000-229-351
Register Number: 000229351
ZIP code: 35214
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1436 BEAUTY CIRBIRMINGHAM, AL 35214
Authorized Capital: $1,000

Activities ORTHODONTIA PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982292918 2021-01-05 2021-01-05 1436 BEAUTY CIR, BIRMINGHAM, AL, 352143008, US 1436 BEAUTY CIR, BIRMINGHAM, AL, 352143008, US

Contacts

Phone +1 205-798-6096
Fax 2057986096

Authorized person

Name JAMIE THACKER
Role OWNER
Phone 2057986096

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role
THACKER, ROBERT A Agent

Incorporator

Name Role
THACKER, ROBERT A Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State