| Name: | Dental Associates of Fyffe LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 22 Oct 2013 (11 years ago) |
| Date of dissolution: | 19 Dec 2023 |
| Entity Number: | 000-290-161 |
| Register Number: | 000290161 |
| ZIP code: | 35601 |
| County: | Morgan |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 1408 7TH AVE S EDECATUR, AL 35601 |
Activities
MEDICAL FIELD OF DENTISTRY/ORTHODONTICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194155333 | 2013-11-26 | 2013-11-26 | 1516 MAIN ST, P.O. BOX 128, FYFFE, AL, 359713484, US | 1516 MAIN ST, FYFFE, AL, 359713484, US | |||||||||||||||
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| Phone | +1 256-623-2272 |
| Fax | 2566232274 |
Authorized person
| Name | DR. SAMUEL G HAWKINS |
| Role | DENTIST |
| Phone | 2563535600 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAWKINS, GREG | Agent | 1408 7TH AVE SEDECATUR, AL 35601 |
| Name | Role | Address |
|---|---|---|
| HAWKINS, GREG | Organizer | 1408 7TH AVE SEDECATUR, AL 35601 |
| HAWKINS, RILEY | Organizer | 1408 7TH AVE SEDECATUR, AL 35601 |
| GALES, ANTONIO | Organizer | No data |
| HARRIS, JEREMIAH L | Organizer | 1408 7TH AVE SEDECATUR, AL 35601 |
| Name | Role | Address |
|---|---|---|
| JEREMIAH L HARRIS DMD PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| JOSHUA DWIGHT HOOD PC | Member | 1408 7TH AVE SEDECATUR, AL 35601 |
| GREG HAWKINS DMD PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| RILEY HAWKINS PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| ANTONIO E GALES DDS PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
