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Havron Endodontics, P.C.

Details

Name: Havron Endodontics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 19 Jul 2012 (12 years ago)
Entity Number: 000-071-572
Register Number: 000071572
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 8636 CABALLO COURTDAPHNE, AL 36526
Principal Address ZIP Code: 36526
Authorized Capital: 100 @ $1.00PV

Activities ENDODONTICS AND GENERAL DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144560459 2013-02-22 2013-02-22 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535, US 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535, US

Contacts
Phone +1 251-923-4445
Fax 2519234446

Authorized person
Name DR. JESS FOWLER HAVRON
Role DR
Phone 2055273600

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAVRON ENDODONTICS 401(K) PLAN 2023 460609881 2024-07-08 HAVRON ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2022 460609881 2023-07-13 HAVRON ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2021 460609881 2022-04-22 HAVRON ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2022-04-22
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2020 460609881 2021-05-17 HAVRON ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2019 460609881 2020-05-29 HAVRON ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2020-05-29
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2018 460609881 2019-06-24 HAVRON ENDODONTICS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2017 460609881 2018-05-21 HAVRON ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing JESS F. HAVRON
HAVRON ENDODONTICS 401(K) PLAN 2016 460609881 2017-05-09 HAVRON ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2519234445
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 203, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing JESS F. HAVRON

Agent

Name Role Address
HAVRON, JESS Agent 8636 CABALLO COURTDAPHNE, AL 36526

Director

Name Role Address
HAVRON, JESS Director 8636 CABALLO COURTDAPHNE, AL 36526

Incorporator

Name Role Address
HAVRON, JESS Incorporator 8636 CABALLO COURTDAPHNE, AL 36526

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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