| Name: | River Valley Family Dentistry, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 21 Jan 2020 (5 years ago) (Companies founded in January 2020) |
| Entity Number: | 000-598-498 |
| Register Number: | 000598498 |
| ZIP code: | 36867 (Companies in Russell, 36867) |
| County: | Russell |
| Place of Formation: | Alabama |
| Principal Address: | 1007 BROAD STREETPHENIX CITY, AL 36867 |
| Registered Office Street Address: | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Authorized Capital: | 1000@$1.00PV |
Activities
ANY LAWFUL PURPOSE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356969638 | 2020-07-13 | 2020-07-13 | 1007 BROAD ST, PHENIX CITY, AL, 368675919, US | 1007 BROAD ST, PHENIX CITY, AL, 368675919, US | |||||||||||||||||||||
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| Phone | +1 334-297-2990 |
| Fax | 3342972955 |
Authorized person
| Name | ELIZABETH M TAYLOR |
| Role | OFFICE MANAGER |
| Phone | 3342972990 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GENERAL DENTISTRY |
| Number | 6304 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| PIRTLE, RONNA ROWLAND | Director | 1007 BROAD STREETPHENIX CITY, AL 36867 |
| PIRTLE, SLADE | Director | 1007 BROAD STREETPHENIX CITY, AL 36867 |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Incorporator | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
