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Geise Dentistry, LLC

Details

Name: Geise Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jun 2011 (13 years ago)
Entity Number: 000-015-726
Register Number: 000015726
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 1137 MADISON PARK DRMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758

Activities DIAGNOSTIC/TREATMENT SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770029324 2017-01-06 2017-01-06 1111 GLENEAGLES DR SW, SUITE A, HUNTSVILLE, AL, 358017417, US 1111 GLENEAGLES DR SW, SUITE A, HUNTSVILLE, AL, 358017417, US

Contacts
Phone +1 256-881-7080

Authorized person
Name DR. JAMES TYLER GEISE
Role PRESIDENT
Phone 2053319229

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 5853
State AL
Is Primary Yes
Taxonomy Code 122300000X - Dentist
License Number 6107
State AL
Is Primary No
Taxonomy Code 122300000X - Dentist
License Number 3526
State AL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GEISE DENTISTRY, LLC 401(K) PLAN 2023 452627513 2024-09-12 GEISE DENTISTRY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing JAMES GEISE
Valid signature Filed with authorized/valid electronic signature
GEISE DENTISTRY CASH BALANCE PLAN 2023 452627513 2024-09-04 GEISE DENTISTRY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing JAMES GEISE
Valid signature Filed with authorized/valid electronic signature
GEISE DENTISTRY CASH BALANCE PLAN 2022 452627513 2023-09-11 GEISE DENTISTRY, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing JAMES GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2022 452627513 2023-09-11 GEISE DENTISTRY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing JAMES GEISE
GEISE DENTISTRY CASH BALANCE PLAN 2021 452627513 2022-09-27 GEISE DENTISTRY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing JAMES GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2021 452627513 2022-09-13 GEISE DENTISTRY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DRIVE SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing JAMES GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2020 452627513 2021-07-20 GEISE DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DR. SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing JAMES TYLER GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2019 452627513 2020-10-06 GEISE DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DR. SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing JAMES TYLER GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2018 452627513 2019-10-07 GEISE DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DR. SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing JAMES TYLER GEISE
GEISE DENTISTRY, LLC 401(K) PLAN 2017 452627513 2018-07-26 GEISE DENTISTRY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2568817080
Plan sponsor’s address 1111 GLENEAGLES DR. SW, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing JAMES TYLER GEISE

Agent

Name Role
GEISE, JAMES T Agent

Organizer

Name Role Address
GEISE, JAMES TYLER Organizer 138 OAK MANOR LANEMADISON, AL 35756

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GEISE, JAMES T

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Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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