| Name: | Daphne Pediatric Dentistry, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 06 Jan 2004 (21 years ago) |
| Date of dissolution: | 22 Dec 2022 |
| Entity Number: | 000-233-063 |
| Register Number: | 000233063 |
| ZIP code: | 36526 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | DAPHNE, AL |
| Registered Office Street Address: | 7058 PROFESSIONAL PLDAPHNE, AL 36526 |
| Authorized Capital: | $100 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841374899 | 2006-10-25 | 2020-08-22 | 7058 PROFESSIONAL PLACE, DAPHNE, AL, 36526, US | 7058 PROFESSIONAL PLACE, DAPHNE, AL, 36526, US | |||||||||||||||||||
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| Phone | +1 251-447-0627 |
| Fax | 2514470639 |
Authorized person
| Name | HAROLD TODD CHAMBLISS |
| Role | PEDIATRIC DENTIST |
| Phone | 2514470627 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 4830 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAHMBLISS, H TODD | Agent |
| Name | Role | Address |
|---|---|---|
| OLMSTEAD, CRAIG D | Incorporator | 234 OFFICE PARK DRIVEGULF SHORES, AL 36542 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6678358307 | 2021-01-27 | 0459 | PPS | 7058 Professional Pl, Daphne, AL, 36526-4511 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8645957208 | 2020-04-28 | 0459 | PPP | 7058 PROFESSIONAL PL, DAPHNE, AL, 36526 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
