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Genesis Dental Group Foley, P.C.

Details

Name: Genesis Dental Group Foley, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 23 Mar 2016 (9 years ago)
Date of dissolution: 30 Dec 2023
Entity Number: 000-357-928
Register Number: 000357928
ZIP code: 36106
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 3150 ZELDA COURTMONTGOMERY, AL 36106
Authorized Capital: 10000 @ $.001PV

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073977211 2016-04-13 2016-04-13 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US 100 ELECIA LN, FOLEY, AL, 365358970, US

Contacts

Phone +1 334-281-2451
Fax 3342811087
Phone +1 251-943-5088
Fax 2519701611

Authorized person

Name MS. SUSAN M STEWART
Role MANAGER
Phone 3342812451

Taxonomy

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

Director

Name Role Address
WATERS, FPRREST Director 3150 ZELDA CTMONTGOMERY, AL 36101
STEINEKER, ART Director 4730 WOODMERE BLVDMONTGOMERY, AL 36101
DILLON, DARREN Director 4730 WOODMERE BLVDMONTGOMERY, AL 36101
LIEUX, DAVID Director 3150 ZELDA CTMONTGOMERY, AL 36101

Agent

Name Role
GENESIS DENTAL GROUP P.C. Agent

Incorporator

Name Role Address
WATERS, FPRREST Incorporator 3150 ZELDA CTMONTGOMERY, AL 36101

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State