| Name: | Joseph Ronderos, DMD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Dec 2004 (20 years ago) (Companies founded in December 2004) |
| Entity Number: | 000-238-725 |
| Register Number: | 000238725 |
| ZIP code: | 35146 (Companies in Saint Clair, 35146) |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Principal Address: | SPRINGVILLE, AL |
| Registered Office Street Address: | 420 WALKER DRSPRINGVILLE, AL 35146 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
PRACTICE DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487999769 | 2012-11-28 | 2012-11-28 | 420 WALKER DR, PO BOX 706, SPRINGVILLE, AL, 351463250, US | 420 WALKER DR, SPRINGVILLE, AL, 351463250, US | |||||||||||||||||||||||||
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| Phone | +1 205-467-6147 |
| Fax | 2054672933 |
Authorized person
| Name | DR. JOSEPH VINCENT RONDEROS SR. |
| Role | PRESIDENT |
| Phone | 2054676147 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4254 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008905230 |
| State | AL |
| Name | Role |
|---|---|
| RONDEROS, JOSEPH | Agent |
| Name | Role |
|---|---|
| RONDEROS JOSEPH | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
