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Tyson Dental, PC

Details

Name: Tyson Dental, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 May 2012 (13 years ago)
Entity Number: 000-055-022
Register Number: 000055022
Historical Names: Tyson Dental, Inc.
County: Madison
Place of Formation: Madison County
Principal Address: 1410 PARAMOUNT DR., SUITE AHUNTSVILLE, AL 35806
Principal Address ZIP Code: 35806
Authorized Capital: 1000 @ $1.00PV

Activities OWN/OPERATE A DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982950036 2012-07-26 2020-03-31 1410 PARAMOUNT DR STE A, HUNTSVILLE, AL, 358063010, US 1410 PARAMOUNT DR STE A, HUNTSVILLE, AL, 358063010, US

Contacts
Phone +1 256-258-9333
Fax 2562425040

Authorized person
Name DR. CHASE B TYSON
Role PRESIDENT
Phone 2562589333

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5754
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2023 455105039 2024-07-31 TYSON DENTAL, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 1410 PARAMOUNT DR,, SUITE A, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2022 455105039 2023-08-24 TYSON DENTAL, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 1410 PARAMOUNT DR, SUITE A, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2023-08-24
Name of individual signing MICHAEL VANDERFORD
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2021 455105039 2022-08-11 TYSON DENTAL, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 1410 PARAMOUNT DR, SUITE A, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2022-08-11
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2020 455105039 2021-09-19 TYSON DENTAL, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 1410 PARAMOUNT DR, SUITE A, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2021-09-19
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2020 455105039 2021-07-11 TYSON DENTAL, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 7046 HIGHWAY 72 W., SUITE E, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2021-07-11
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2019 455105039 2020-08-20 TYSON DENTAL, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 7046 HIGHWAY 72 W., SUITE E, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2018 455105039 2019-10-02 TYSON DENTAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2562589333
Plan sponsor’s address 7046 HIGHWAY 72 W., SUITE E, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2017 455105039 2018-04-03 TYSON DENTAL, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2564663747
Plan sponsor’s address 7046 HWY 72W, SUITE E, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2018-04-03
Name of individual signing CHASE TYSON
Role Employer/plan sponsor
Date 2018-04-03
Name of individual signing CHASE TYSON
TYSON DENTAL, INC. 401(K) PROFIT SHARING PLAN 2016 455105039 2017-04-12 TYSON DENTAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2564663747
Plan sponsor’s address 7046 HWY 72W, SUITE E, HUNTSVILLE, AL, 35806

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing CHASE TYSON
Role Employer/plan sponsor
Date 2017-04-12
Name of individual signing CHASE TYSON

Incorporator

Name Role Address
TYSON, CHASE Incorporator 1410 PARAMOUNT DR., SUITE AHUNTSVILLE, AL 35806

Agent

Name Role Address
TYSON, CHASE Agent 1410 PARAMOUNT DR., SUITE AHUNTSVILLE, AL 35806

Director

Name Role Address
TYSON, CHASE Director 1410 PARAMOUNT DR., SUITE AHUNTSVILLE, AL 35806

Events

Event Date Event Type Old Value New Value
2023-04-20 Name Change Tyson Dental, Inc. Tyson Dental, PC

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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