Reuben Moyana DMD, PC

Business Information

Congressional District	03
State/Country of Incorporation	AL, USA
Activation Date	2023-04-06
Initial Registration Date	2018-03-28
Entity Start Date	2016-08-15
Fiscal Year End Close Date	Aug 17

Service Classifications

NAICS Codes

621210

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	ANGELIKA PEACE
Role	OFFICE MANAGER
Address	1095 HWY 165 SUITE D, FORT MITCHELL, AL, 36856, USA

Government Business
Title	PRIMARY POC
Name	REUBEN MOYANA
Role	OWNER
Address	1095 HWY 165 SUITE D, FORT MITCHELL, AL, 36856, USA

Past Performance	Information not Available

Contacts

Phone	+1 334-855-3300

Authorized person

Name	DR. REUBEN TAFADZWA MOYANA
Role	PRESIDENT
Phone	3348553300

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
License Number	5344
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2024-07-12
Name of individual signing	REUBEN MOYANA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2023-07-15
Name of individual signing	REUBEN MOYANA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2022-06-07
Name of individual signing	REUBEN MOYANA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2021-05-05
Name of individual signing	REUBEN MOYANA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2020-05-08
Name of individual signing	REUBEN MOYANA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621210
Sponsor’s telephone number	2053170761
Plan sponsor’s address	129 LEE ROAD, SUITE 2200, SMITHS STATION, AL, 36877

Signature of

Role	Plan administrator
Date	2019-06-07
Name of individual signing	REUBEN MOYANA