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Bay Area Oral Surgery, P.C.

Details

Name: Bay Area Oral Surgery, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Oct 1974 (50 years ago) (Companies founded in October 1974)
Entity Number: 000-035-611
Register Number: 000035611
Historical Names: C. Allen Martin, Jr., D.M.D., P.A.
C. Allen Martin, Jr., D.M.D., P.C.
Martin & Zieman, D.M.D., Professional Corporation
Martin, Zieman & Pfeffle, D.M.D., Professional Corporation
Zieman & Pfeffle, D.M.D., P.C.
Zieman, Pfeffle & Sheppard, D.M.D., P.C.
ZIP code: 36609 (Companies in Mobile, 36609)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 5901 GRELOT RDMOBILE, AL 36609
Authorized Capital: $6,000
Paid Share Capital: $2,000

Activities DENTIST

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063457919 2006-06-17 2023-08-22 5901 GRELOT RD, BUILDING C, MOBILE, AL, 366093603, US 5901 GRELOT RD, BUILDING C, MOBILE, AL, 366093603, US

Contacts
Phone +1 251-344-6191
Fax 2513446794

Authorized person
Name MS. JEANNE MARZULLO
Role OFFICE MANAGER
Phone 2513446191

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 3814
State AL
Is Primary Yes
Taxonomy Code 174400000X - Specialist
License Number 4598
State AL
Is Primary No
Taxonomy Code 174400000X - Specialist
License Number 5437
State AL
Is Primary No

Other Provider Identifiers
Issuer BCBS OF AL
Number 0000090524
State AL
Issuer MEDICAID
Number 257083
State AL
Issuer MEDICARE PTAN SHEPPARD
Number 1021853899
State AL
Issuer BCBS
Number 000005454
State AL
Issuer BCBS OF AL
Number 0000094869
State AL
Issuer BCBS OF AL
Number 0000032729
State AL
Issuer MEDICAID
Number 165624
State AL
Issuer MEDICAID
Number 167941
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY AREA ORAL SURGERY, P.C. PROFIT SHARING PLAN 2023 630673535 2024-05-15 BAY AREA ORAL SURGERY, P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621210
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing ROBERT PFEFFLE
BAY AREA ORAL SURGERY, P.C. PROFIT SHARING PLAN 2022 630673535 2023-05-08 BAY AREA ORAL SURGERY, P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621210
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing ROBERT PFEFFLE
BAY AREA ORAL SURGERY, P.C. PROFIT SHARING PLAN 2021 630673535 2022-06-22 BAY AREA ORAL SURGERY, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621210
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing ROBERT PFEFFLE
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2020 630673535 2021-05-10 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621210
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2021-05-10
Name of individual signing ROBERT PFEFFLE
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2019 630673535 2020-07-01 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing ROBERT PFEFFLE
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2018 630673535 2019-06-28 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2017 630673535 2018-07-24 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing ROBERT PFEFFLE
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2016 630673535 2017-09-11 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609
ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. PROFIT SHARING PLAN 2016 630673535 2017-09-11 ZIEMAN, PFEFFLE & SHEPPARD, D.M.D., P.C. 21
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609
ZIEMAN & PFEFFLE, D.M.D., P.C. PROFIT SHARING PLAN 2015 630673535 2016-06-28 ZIEMAN & PFEFFLE, D.M.D., P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-10-01
Business code 621210
Sponsor’s telephone number 2513446191
Plan sponsor’s address 5901 GRELOT ROAD, MOBILE, AL, 36609

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing ROBERT PFEFFLE
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing ROBERT PFEFFLE

Agent

Name Role Address
PFEFFLE, ROBERT C Agent 91-D SOOST COURTMOBILE, AL 36608

Incorporator

Name Role
MARTIN, C ALLEN JR Incorporator

Events

Event Date Event Type Old Value New Value
2020-12-08 Name Change Zieman, Pfeffle & Sheppard, D.M.D., P.C. Bay Area Oral Surgery, P.C.
2014-07-28 Name Change Zieman & Pfeffle, D.M.D., P.C. Zieman, Pfeffle & Sheppard, D.M.D., P.C.
2009-07-21 Name Change Martin, Zieman & Pfeffle, D.M.D., Professional Corporation Zieman & Pfeffle, D.M.D., P.C.
2002-06-18 Name Change Martin & Zieman, D.M.D., Professional Corporation Martin, Zieman & Pfeffle, D.M.D., Professional Corporation
1990-07-03 Name Change C. Allen Martin, Jr., D.M.D., P.C. Martin & Zieman, D.M.D., Professional Corporation
1987-01-05 Name Change C. Allen Martin, Jr., D.M.D., P.A. C. Allen Martin, Jr., D.M.D., P.C.

Related by officers

PFEFFLE, ROBERT C

Wimbledon Partners, LLC Mardi Gras Generators, Inc. BHP Properties, LLC ZP-Grelot Investors, LLC

MARTIN, C ALLEN JR

Alva, L.L.C.

Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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