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Richard H. Real, Jr., D.M.D., P.A.

Details

Name: Richard H. Real, Jr., D.M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 08 Jul 1980 (44 years ago) (Companies founded in July 1980)
Entity Number: 000-061-886
Register Number: 000061886
Historical Names: Drs. Real & Jones, P.A.
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 2161 CLEARBROOK RDHOOVER, AL 35226

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659486397 2006-08-21 2008-07-23 2161 CLEARBROOK ROAD, HOOVER, AL, 35226, US 2161 CLEARBROOK ROAD, HOOVER, AL, 35226, US

Contacts

Phone +1 205-823-2577
Fax 2058232585

Authorized person

Name RICHARD H REAL
Role OWNER
Phone 2088232577

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 2931CS
State AL
Is Primary Yes

Member

Name Role Address
REAL, RICHARD H JR Member 2161 CLEARBROOK RDHOOVER, AL 35226

Events

Event Date Event Type Old Value New Value
1989-11-01 Name Change Drs. Real & Jones, P.A. Richard H. Real, Jr., D.M.D., P.A.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State