Rhodes & Rhodes Family Dentistry, LLC

Contacts

Phone	+1 205-826-2255

Authorized person

Name	DR. BELINDA RENEE RHODES
Role	DENTIST/PRESIDENT
Phone	2058262255

Taxonomy

Taxonomy Code	1223G0001X - General Practice Dentistry
License Number	5502
State	AL
Is Primary	No
Taxonomy Code	1223G0001X - General Practice Dentistry
License Number	5503
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	6000 OLD GREENSBORO RD., TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2024-04-22
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	6000 OLD GREENSBORO RD., TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2023-06-22
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	6000 OLD GREENSBORO RD., TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2022-06-21
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2021-05-18
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2020-07-28
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2019-06-27
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2018-04-19
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2017-07-24
Name of individual signing	MELINDA RHODES KING

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	812990
Sponsor’s telephone number	2053449220
Plan sponsor’s address	7402 HIGHWAY 69 S. STE H, TUSCALOOSA, AL, 35405

Signature of

Role	Plan administrator
Date	2015-05-20
Name of individual signing	MELINDA RHODES