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James T. Gardiner Family Dentistry, P.C.

Details

Name: James T. Gardiner Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Jan 2012 (13 years ago)
Entity Number: 000-039-293
Register Number: 000039293
County: Colbert
Place of Formation: Colbert County
Registered Office Street Address: 121 E 6TH STTUSCUMBIA, AL 35674
Registered Office Street Address ZIP Code: 35674
Authorized Capital: 1,000 @ $1 PV

Activities FAMILY DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750640108 2012-05-04 2012-05-04 121 E. 6TH ST., TUSCUMBIA, AL, 356742413, US 121 E. 6TH ST., TUSCUMBIA, AL, 356742413, US

Contacts
Phone +1 256-383-0377
Fax 2563830745

Authorized person
Name DR. JAMES THOMAS GARDINER
Role OWNER/PRESIDENT
Phone 2563830377

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 4509
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 009207250
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SINGING RIVER DENTISTRY 401(K) PLAN 2019 454479132 2020-10-14 JAMES T. GARDINER FAMILY DENTISTRY, P.C. 59
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2563830377
Plan sponsor’s address 121 E 6TH STREET, TUSCUMBIA, AL, 35674

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing JAMES GARDINER
SINGING RIVER DENTISTRY 401(K) PLAN 2019 454479132 2021-05-27 JAMES T. GARDINER FAMILY DENTISTRY, P.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2563830377
Plan sponsor’s address 121 E 6TH STREET, TUSCUMBIA, AL, 35674

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing JAMES GARDINER
SINGING RIVER DENTISTRY 401(K) PLAN 2018 454479132 2019-10-09 JAMES T. GARDINER FAMILY DENTISTRY, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2563830377
Plan sponsor’s address 121 E 6TH STREET, TUSCUMBIA, AL, 35674

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing JAMES GARDINER
SINGING RIVER DENTISTRY 401(K) PLAN 2017 454479132 2018-07-24 JAMES T. GARDINER FAMILY DENTISTRY, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2563830377
Plan sponsor’s address 121 E 6TH STREET, TUSCUMBIA, AL, 35674

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing JAMES GARDINER
SINGING RIVER DENTISTRY 401(K) PLAN 2016 454479132 2017-10-06 JAMES T. GARDINER FAMILY DENTISTRY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2563830377
Plan sponsor’s address 121 E 6TH STREET, TUSCUMBIA, AL, 35674

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing JAMES GARDINER

Director

Name Role Address
GARDINER, JAMES T Director 100 PROVIDENCE MAIN STREET NW, SUITEHUNTSVILLE, AL 35806

Incorporator

Name Role Address
GARDINER, JAMES T Incorporator 100 PROVIDENCE MAIN STREET NW, SUITEHUNTSVILLE, AL 35806

Agent

Name Role Address
GARDINER, JAMES T Agent 100 PROVIDENCE MAIN STREET NW, SUITEHUNTSVILLE, AL 35806

Related by officers

GARDINER, JAMES T

Gardiner Properties, LLC PAWPAGE, INC Diamond Dreams, Inc. N & J Enterprises, LLC Alabama Headache Center LLC Singing River Dentistry PLLC Singing River Dentistry East, LLC

Related by address

121 E 6TH STTUSCUMBIA, AL 35674

Diamond Dreams, Inc.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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