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Eastview Family Dentistry, P.C.

Details

Name: Eastview Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Jan 2012 (13 years ago) (Companies founded in January 2012)
Entity Number: 000-038-969
Register Number: 000038969
ZIP code: 35758 (Companies in Madison, 35758)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 870 SLAUGHTER ROADMADISON, AL 35758
Authorized Capital: 1000 @ $1

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124390034 2012-02-08 2017-03-01 870 SLAUGHTER RD, MADISON, AL, 35758, US 870 SLAUGHTER RD, MADISON, AL, 35758, US

Contacts
Phone +1 256-325-9393

Authorized person
Name CHRISTINA CONGO
Role DENTIST/OWNER
Phone 2563259393

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTVIEW FAMILY DENTISTRY 401(K) PLAN 2023 454350714 2024-05-21 EASTVIEW FAMILY DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2563259393
Plan sponsor’s address 870 SLAUGHTER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing DR. CHRISTINA CONGO
EASTVIEW FAMILY DENTISTRY 401(K) PLAN 2022 454350714 2023-06-19 EASTVIEW FAMILY DENTISTRY, P.C. 15
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2563259393
Plan sponsor’s address 870 SLAUGHTER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2023-06-18
Name of individual signing DR. CHRISTINA CONGO
EASTVIEW FAMILY DENTISTRY 401(K) PLAN 2022 454350714 2024-05-03 EASTVIEW FAMILY DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2563259393
Plan sponsor’s address 870 SLAUGHTER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing DR. CHRISTINA CONGO
EASTVIEW FAMILY DENTISTRY 401(K) PLAN 2021 454350714 2022-05-09 EASTVIEW FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2563259393
Plan sponsor’s address 870 SLAUGHTER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2022-05-09
Name of individual signing DR. CHRISTINA CONGO
EASTVIEW FAMILY DENTISTRY 401(K) PLAN 2020 454350714 2021-07-26 EASTVIEW FAMILY DENTISTRY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541990
Sponsor’s telephone number 2563259393
Plan sponsor’s address 870 SLAUGHTER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing DR. CHRISTINA CONGO

Agent

Name Role Address
CONGO, CHRISTINA Agent 870 SLAUGHTER ROADMADISON, AL 35758

Director

Name Role Address
CONGO, CHRISTINA Director 870 SLAUGHTER ROADMADISON, AL 35758
DEAN, TIFFANY Director No data

Incorporator

Name Role Address
FREDERICK, PAUL W Incorporator 655 GALLATIN STREETHUNTSVILLE, AL 35801

Related by officers

CONGO, CHRISTINA

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DEAN, TIFFANY

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FREDERICK, PAUL W

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Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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