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) (Companies founded in August 1978)
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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

Caldwell Crossings Dentistry, P.C.

Details

National Provider Identifier

form 5500

Incorporator

Events

Related by officers

Related by address