| Name: | Riverview Dental Designs, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Oct 1994 (30 years ago) |
| Entity Number: | 000-167-327 |
| Register Number: | 000167327 |
| Historical Names: |
J. Paul Diaz, D.M.D., P.C.
|
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 2603 UNIVERSITY BLVDTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
GENERAL PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700050036 | 2008-04-17 | 2008-04-17 | 805 RICE MINE RD N, TUSCALOOSA, AL, 354062314, US | 805 RICE MINE RD N, TUSCALOOSA, AL, 354062314, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 205-345-3400 |
Authorized person
| Name | DR. JOSEPH P DIAZ |
| Role | DENTIST/PRESIDENT |
| Phone | 2053453400 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4367 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TYPE 1 NPI |
| Number | 1144327370 |
| State | AL |
| Name | Role |
|---|---|
| DIAZ, J PAUL | Agent |
| Name | Role |
|---|---|
| DIAZ, J PAUL | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2004-12-02 | Name Change | J. Paul Diaz, D.M.D., P.C. | Riverview Dental Designs, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
