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Mt. Cheaha Dental, P.C.

Details

Name: Mt. Cheaha Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Jul 2011 (13 years ago)
Entity Number: 000-020-574
Register Number: 000020574
County: Cleburne
Place of Formation: Cleburne County
Principal Address: 555 BROCKFORD RDHEFLIN, AL 36264
Principal Address ZIP Code: 36264
Authorized Capital: 10000

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023394574 2011-10-28 2011-10-28 555 BROCKFORD RD, HEFLIN, AL, 362641664, US 386 ROSS ST, HEFLIN, AL, 36264, US

Contacts

Phone +1 205-253-3214

Authorized person

Name ZACKARY JONES
Role DENTIST
Phone 2052533214

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5614
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MT. CHEAHA DENTAL, P.C. CASH BALANCE PLAN 2023 452806330 2024-08-14 MT. CHEAHA DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. RETIREMENT PLAN 2023 452806330 2024-05-14 MT. CHEAHA DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. RETIREMENT PLAN 2022 452806330 2023-03-16 MT. CHEAHA DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. CASH BALANCE PLAN 2022 452806330 2023-03-16 MT. CHEAHA DENTAL, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. CASH BALANCE PLAN 2021 452806330 2022-09-29 MT. CHEAHA DENTAL, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. RETIREMENT PLAN 2021 452806330 2022-01-27 MT. CHEAHA DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. RETIREMENT PLAN 2020 452806330 2021-04-22 MT. CHEAHA DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. CASH BALANCE PLAN 2020 452806330 2021-09-15 MT. CHEAHA DENTAL, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. CASH BALANCE PLAN 2019 452806330 2020-08-21 MT. CHEAHA DENTAL, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264
MT. CHEAHA DENTAL, P.C. RETIREMENT PLAN 2019 452806330 2020-06-01 MT. CHEAHA DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2564632224
Plan sponsor’s address 386 ROSS STREET, HEFLIN, AL, 36264

Agent

Name Role Address
JONES, ZACKARY Agent 555 BROCKFORD RDHEFLIN, AL 36264

Director

Name Role Address
JONES, ZACKARY DMD Director 555 BROCKFORD RDHEFLIN, AL 36264

Incorporator

Name Role Address
JONES, ZACKARY DMD Incorporator 555 BROCKFORD RDHEFLIN, AL 36264

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State