| Name: | Pignataro Dental, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Jul 2008 (16 years ago) |
| Date of dissolution: | 30 Dec 2019 |
| Entity Number: | 000-257-897 |
| Register Number: | 000257897 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 4038 BALMORAL DRHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $1,000 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306001458 | 2008-07-28 | 2008-07-28 | 4038 BALMORAL DR SW, HUNTSVILLE, AL, 358016421, US | 4038 BALMORAL DR SW, HUNTSVILLE, AL, 358016421, US | |||||||||||||||||||||||||
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| Phone | +1 256-880-1165 |
| Fax | 2568804041 |
Authorized person
| Name | DR. JAMES RICHARD PIGNATARO JR. |
| Role | OWNER |
| Phone | 2568801165 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 3391 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000095395 |
| State | AL |
| Name | Role |
|---|---|
| PIGNATARO, JAMES R JR | Agent |
| Name | Role | Address |
|---|---|---|
| FREDERICK, PAUL W | Incorporator | 655 GALLATIN STREETHUNTSVILLE, AL 35801 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
