| Name: | James Dreading Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Dec 1997 (27 years ago) |
| Entity Number: | 000-192-286 |
| Register Number: | 000192286 |
| County: | Marengo |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | DEMOPOLIS, AL |
| Registered Office Street Address: | 1203 MASON RIDGE DRDEMOPOLIS, AL 36732 |
| Registered Office Street Address ZIP Code: | 36732 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
DENTISTRY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306302674 | 2019-02-12 | 2019-02-12 | 1203 MASON RIDGE DR, DEMOPOLIS, AL, 367323607, US | 1203 MASON RIDGE DR, DEMOPOLIS, AL, 367323607, US | |||||||||||||||||||||
|
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| Phone | +1 334-289-1206 |
| Fax | 3342891228 |
Authorized person
| Name | DR. JAMES DANIEL DREADING |
| Role | PRESIDENT/DENTIST |
| Phone | 3342891206 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1841313897 |
| State | AL |
| Name | Role |
|---|---|
| DREADING, JAMES D | Agent |
| Name | Role |
|---|---|
| DREADING, JAMES D | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
