| Name: | Tucker Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Jul 2011 (13 years ago) |
| Entity Number: | 000-018-911 |
| Register Number: | 000018911 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | 2455 MEDICAL CENTER PARKWAYSELMA, AL 36701 |
| Principal Address ZIP Code: | 36701 |
Activities
RENDER DENTISTRY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992083117 | 2011-07-22 | 2011-07-22 | 2455 MEDICAL CENTER PKWY, SELMA, AL, 367017756, US | 2455 MEDICAL CENTER PKWY, SELMA, AL, 367017756, US | |||||||||||||||||
|
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| Phone | +1 334-872-0486 |
Authorized person
| Name | DR. TAYLOR LOGAN TUCKER |
| Role | PRESIDENT |
| Phone | 3348750486 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5723 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TUCKER FAMILY DENTISTRY 401(K) PLAN | 2023 | 452696757 | 2024-05-21 | TUCKER FAMILY DENTISTRY | 14 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES LLC |
| Plan administrator’s address | PO BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | ALICIA M. TURNER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3348720486 |
| Plan sponsor’s address | 2455 MEDICAL CENTER PARKWAY, SELMA, AL, 36701 |
Plan administrator’s name and address
| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES LLC |
| Plan administrator’s address | PO BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-25 |
| Name of individual signing | ERIC QUELLA |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3348720486 |
| Plan sponsor’s address | 2455 MEDICAL CENTER PARKWAY, SELMA, AL, 36701 |
Plan administrator’s name and address
| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICE |
| Plan administrator’s address | PO BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-07 |
| Name of individual signing | ERIC QUELLA |
| Name | Role |
|---|---|
| TUCKER, T L | Agent |
| Name | Role | Address |
|---|---|---|
| TUCKER, T LOGAN | Director | 2455 MEDICAL CENTER PARKWAYSELMA, AL 36701 |
| TUCKER, ABIGAIL E | Director | 2455 MEDICAL CENTER PARKWAYSELMA, AL 36701 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
