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River Region Dentistry P.C.

Details

Name: River Region Dentistry P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Jan 1996 (29 years ago)
Entity Number: 000-176-831
Register Number: 000176831
Historical Names: R. Harrell Bullard D.M.D., P.C.
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 8164 LONGNEEDLE PLACEMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117
Authorized Capital: $5,000
Paid Share Capital: $100

Activities OPERATE A DENTAL/ORTHODONTICS LABORATORY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609941715 2006-11-22 2015-07-10 125 COLISEUM BLVD, MONTGOMERY, AL, 361092707, US 125 COLISEUM BLVD, MONTGOMERY, AL, 361092707, US

Contacts
Phone +1 334-272-0110

Authorized person
Name DR. ROY HARRELL BULLARD
Role PRESIDENT
Phone 3342720110

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4146
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2023 631159714 2024-04-09 RIVER REGION DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BLVD, MONTGOMERY, AL, 36109

Signature of
Role Plan administrator
Date 2024-04-09
Name of individual signing R. HARRELL BULLARD
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2022 631159714 2023-05-03 RIVER REGION DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BLVD, MONTGOMERY, AL, 36109

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing R. HARRELL BULLARD
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2021 631159714 2022-10-05 RIVER REGION DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2020 631159714 2021-10-01 RIVER REGION DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2019 631159714 2020-10-05 RIVER REGION DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2018 631159714 2019-10-04 RIVER REGION DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2017 631159714 2018-10-05 RIVER REGION DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2016 631159714 2017-10-06 RIVER REGION DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
RIVER REGION DENTISTRY, P.C. 401(K) PLAN 2015 631159714 2016-09-09 RIVER REGION DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109
R. HARRELL BULLARD, D.M.D., P.C. 401(K) PLAN 2014 631159714 2015-09-30 R. HARRELL BULLARD, D.M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342720110
Plan sponsor’s address 125 COLISEUM BOULEVARD, MONTGOMERY, AL, 36109

Agent

Name Role
BULLARD, R HAR Agent

Director

Name Role Address
BULLARD, R HARRELL Director 125 COLISEUM BLVDMONTGOMERY, AL 36109
BULLARD, MARIAN K Director 125 COLISEUM BLVDMONTGOMERY, AL 36109

Incorporator

Name Role Address
BULLARD, R HARRELL Incorporator 125 COLISEUM BLVDMONTGOMERY, AL 36109

Events

Event Date Event Type Old Value New Value
2015-04-14 Name Change R. Harrell Bullard D.M.D., P.C. River Region Dentistry P.C.

Related by officers

BULLARD, R HARRELL

Et Al Investors, L.L.C.

Related by address

8164 LONGNEEDLE PLACEMONTGOMERY, AL 36117

First Person Films, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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