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Thomson Dental, P.C.

Details

Name: Thomson Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Jul 2011 (13 years ago)
Entity Number: 000-019-114
Register Number: 000019114
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1913 LAUREL ROADBIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216
Authorized Capital: 1,000 @ $1 PV

Activities PRACTICE OF DENTISTRY/ORTHODONTICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225326861 2011-07-18 2011-07-18 1913 LAUREL RD, VESTAVIA, AL, 352161834, US 1913 LAUREL RD, VESTAVIA, AL, 352161834, US

Contacts

Phone +1 205-823-1654
Fax 2059796122

Authorized person

Name DR. TRACEY VINTON THOMSON
Role O
Phone 2058231654

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3555
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMSON DENTAL, P.C. RETIREMENT PLAN 2016 452715699 2017-11-17 THOMSON DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2058231654
Plan sponsor’s address 1913 LAUREL ROAD, VESTAVIA HILLS, AL, 35216

Plan administrator’s name and address

Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of

Role Plan administrator
Date 2017-11-17
Name of individual signing KATHY BITTLE

Agent

Name Role Address
THOMSON, TRACEY V Agent 4702 MISTY RIDGE CIRCLEBIRMINGHAM, AL 35235

Director

Name Role Address
THOMSON, TRACEY V Director 4702 MISTY RIDGE CIRCLEBIRMINGHAM, AL 35235

Incorporator

Name Role Address
THOMSON, TRACEY V Incorporator 4702 MISTY RIDGE CIRCLEBIRMINGHAM, AL 35235

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State