| Name: | Pediatric Dentistry Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Jul 1977 (47 years ago) (Companies founded in July 1977) |
| Date of dissolution: | 14 Sep 2012 |
| Entity Number: | 000-048-195 |
| Register Number: | 000048195 |
| Historical Names: |
James M. Jenkins, Jr., D.M.D., P.A.
James M. Jenkins, Jr., D.M.D., P.C. |
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | #20 MEDICAL ARTS CENTEROPELIKA, AL 36801 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598881716 | 2007-03-21 | 2020-08-22 | 121 N 20TH ST, SUITE 20-C, OPELIKA, AL, 368015449, US | 121 N 20TH ST, SUITE 20-C, OPELIKA, AL, 368015449, US | |||||||||||||||||||
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| Phone | +1 334-745-6443 |
| Fax | 3347453444 |
Authorized person
| Name | MRS. ELIZABETH K CARROLL |
| Role | CORPORATE SECRETARY |
| Phone | 3347456443 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 3156 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEDIATRIC DENTISTRY ASSOCIATES, P.C. 401K PROFIT SHARING PLAN AND TRUST | 2011 | 630731359 | 2012-02-16 | PEDIATRIC DENTISTRY ASSOCIATES, P.C | 5 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 630731359 |
| Plan administrator’s name | PEDIATRIC DENTISTRY ASSOCIATES, P.C |
| Plan administrator’s address | 681 ELIZABETH DR, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3347456443 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-16 |
| Name of individual signing | ELIZABETH CARROLL |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3347456443 |
| Plan sponsor’s address | 681 ELIZABETH DR, AUBURN, AL, 36830 |
Plan administrator’s name and address
| Administrator’s EIN | 630731359 |
| Plan administrator’s name | PEDIATRIC DENTISTRY ASSOCIATES, P.C |
| Plan administrator’s address | 681 ELIZABETH DR, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3347456443 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-15 |
| Name of individual signing | ELIZABETH CARROLL |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1977-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3347456443 |
| Plan sponsor’s address | 681 ELIZABETH DR, AUBURN, AL, 36830 |
Plan administrator’s name and address
| Administrator’s EIN | 630731359 |
| Plan administrator’s name | PEDIATRIC DENTISTRY ASSOCIATES, P.C |
| Plan administrator’s address | 681 ELIZABETH DR, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3347456443 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-14 |
| Name of individual signing | ELIZABETH CARROLL |
| Name | Role | Address |
|---|---|---|
| JENKINS, JAMES M JR | Agent | 120 LEE DRAUBURN, AL 36832 |
| Name | Role |
|---|---|
| JENKINS, JAMES M JR DMD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1984-05-08 | Name Change | James M. Jenkins, Jr., D.M.D., P.C. | Pediatric Dentistry Associates, P.C. |
| 1984-03-01 | Name Change | James M. Jenkins, Jr., D.M.D., P.A. | James M. Jenkins, Jr., D.M.D., P.C. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
