| Name: | Catherine M. Griggs, DMD, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Jun 2010 (14 years ago) |
| Date of dissolution: | 03 Mar 2020 |
| Entity Number: | 000-264-540 |
| Register Number: | 000264540 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 410 15TH ST EASTTUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Authorized Capital: | $10,000 |
Activities
DENTAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427368422 | 2010-10-09 | 2010-10-09 | 410 15TH ST E, SUITE B, TUSCALOOSA, AL, 354013686, US | 410 15TH ST E, SUITE B, TUSCALOOSA, AL, 354013686, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 205-345-1136 |
Authorized person
| Name | DR. CATHERINE M GRIGGS |
| Role | DENTIST |
| Phone | 2053451136 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 3849 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529910060 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD OF AL |
| Number | 90308 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| GRIGGS, CATHERINE M | Agent | 1629 WAKEFIELD DRIVETUSCALOOSA, AL 35405 |
| Name | Role | Address |
|---|---|---|
| GRIGGS, CATHERINE M | Incorporator | 1629 WAKEFIELD DRIVETUSCALOOSA, AL 35405 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
