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Riley Family and Cosmetic Dentistry, P.C.

Details

Name: Riley Family and Cosmetic Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 21 Apr 2017 (8 years ago)
Entity Number: 000-389-827
Register Number: 000389827
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 655 GALLATIN STREET SWHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: 1000 @ $0.01 PV

Activities ANY LAWFUL BUSINESS
ACT OR ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437685245 2017-05-11 2017-05-11 7561 WALL TRIANA HWY, MADISON, AL, 357578327, US 7561 WALL TRIANA HWY, MADISON, AL, 357578327, US

Contacts

Phone +1 256-325-0035

Authorized person

Name DAVID GILMORE RILEY
Role DENTIST
Phone 2563250035

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5699
State AL
Is Primary Yes

Agent

Name Role Address
BURNEY, L J Agent 655 GALLATIN ST SWHUNTSVILLE, AL 35801

Director

Name Role Address
RILEY, DAVID G Director 301 WICKERBERRY WAYATHENS, AL 35611

Incorporator

Name Role Address
BURNEY, L J Incorporator 655 GALLATIN ST SWHUNTSVILLE, AL 35801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State