Ala. Admin. Code r. 270-X-4-.10

Current through Register Vol. 42, No. 11, August 30, 2024

Section 270-X-4-.10 - Registration Of A 501(c)(3) Dental Clinic

(1) Every 501(c)(3) nonprofit entity that operates one or more dental clinics must register with the Board.

Registration shall consist of completing the registration form for each clinic operated by the 501(c)(3) entity. The information required on the registration form shall be the following:

(a) Name, address, phone number and after hours contact information of the 501(c)(3) entity.

(b) The name and contact information of the Chief of Dental Services of the 501(c)(3) entity if the 501(c)(3) entity is operating multiple clinics.

(c) Name, address, phone number and after hours contact information for each clinic operated by the 501(c)(3) entity.

(d) A list of all licensed dentists and hygienists that work for the 501(c)(3) entity. All licensees must have all applicable licenses and registrations as required by this chapter. Any changes to the employment/volunteer status of these licensees must be reported to the Board within thirty (30) days.

(e) A copy of the Articles of Incorporation of the 501(c)(3) entity.

(f) A valid copy of the IRS Determination Letter of the 501(c)(3) entity.

Ala. Admin. Code r. 270-X-4-.10

New Rule: Filed November 6, 2012; effective December 11, 2012.

Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 06, March 31, 2015, eff. 4/7/2015.

Author: Susan F. Wilhelm

Statutory Authority:Code of Ala. 1975, §§ 34-9-7.2, 34-9-15, 34-9-17.