Search icon

Caldwell Crossings Dentistry, P.C.

Details

Name: Caldwell Crossings Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 25 Aug 1978 (46 years ago)
Entity Number: 000-052-902
Register Number: 000052902
Historical Names: Ernest C. Lee, D.M.D., P. C.
Lee & Melazzo, D.M.D., P.C.
Place of Formation: Jefferson County
Authorized Capital: $2,500
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255650115 2010-05-18 2019-11-01 4516 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242, US 4516 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242, US

Contacts

Phone +1 205-991-5343
Fax 2059917548

Authorized person

Name LEON FRANK MELAZZO JR.
Role OWNER
Phone 2059915343

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2023 630756081 2024-08-02 CALDWELL CROSSINGS DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Signature of

Role Plan administrator
Date 2024-08-02
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2022 630756081 2023-07-17 CALDWELL CROSSINGS DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2021 630756081 2022-05-10 CALDWELL CROSSINGS DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Signature of

Role Plan administrator
Date 2022-05-06
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2020 630756081 2021-10-12 CALDWELL CROSSINGS DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2019 630756081 2020-07-07 CALDWELL CROSSINGS DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2018 630756081 2019-12-26 CALDWELL CROSSINGS DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2019-12-26
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2017 630756081 2019-03-15 CALDWELL CROSSINGS DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2019-03-15
Name of individual signing LEON MELAZZO JR
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2016 630756081 2018-01-18 CALDWELL CROSSINGS DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2018-01-18
Name of individual signing ERNEST LEE
CALDWELL CROSSINGS DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2015 630756081 2017-04-11 CALDWELL CROSSINGS DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2017-04-11
Name of individual signing ERNEST LEE
LEE & MELAZZO, P.C. 401(K) PROFIT SHARING PLAN 2014 630756081 2016-02-03 CALDWELL CROSSINGS DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2059915343
Plan sponsor’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630756081
Plan administrator’s name CALDWELL CROSSINGS DENTISTRY, P.C.
Plan administrator’s address 4516 VALLEYDALE RD., BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059915343

Signature of

Role Plan administrator
Date 2016-02-03
Name of individual signing ERNEST LEE

Incorporator

Name Role
LEE, ERNEST C DR Incorporator

Events

Event Date Event Type Old Value New Value
2014-11-18 Name Change Lee & Melazzo, D.M.D., P.C. Caldwell Crossings Dentistry, P.C.
1992-09-03 Name Change Ernest C. Lee, D.M.D., P. C. Lee & Melazzo, D.M.D., P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State