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Bruce T. Spink, D.M.D., P.C.

Details

Name: Bruce T. Spink, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Jul 1985 (39 years ago)
Date of dissolution: 10 May 2022
Entity Number: 000-104-817
Register Number: 000104817
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 4005 CROSSHAVEN DRIVEBIRMINGHAM, AL 35243-5229
Authorized Capital: $1,000
Paid Share Capital: $100

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871622027 2007-03-05 2020-08-22 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229, US 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229, US

Contacts

Phone +1 205-967-8555
Fax 2059680202

Authorized person

Name DR. BRUCE TAYLOR SPINK
Role OWNER
Phone 2059678555

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3706
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRUCE T SPINK, D. M. D., P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2010 630903770 2012-01-19 BRUCE T SPINK, D. M. D., P. C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621210
Sponsor’s telephone number 2059678555
Plan sponsor’s address 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229

Plan administrator’s name and address

Administrator’s EIN 630903770
Plan administrator’s name BRUCE T SPINK, D. M. D., P. C.
Plan administrator’s address 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229
Administrator’s telephone number 2059678555

Signature of

Role Plan administrator
Date 2012-01-19
Name of individual signing BRUCE T. SPINK, D. M. D.
Role Employer/plan sponsor
Date 2012-01-19
Name of individual signing BRUCE T. SPINK, D. M. D.
BRUCE T SPINK, D. M. D., P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2009 630903770 2011-01-31 BRUCE T SPINK, D. M. D., P. C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 621210
Sponsor’s telephone number 2059678555
Plan sponsor’s address 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229

Plan administrator’s name and address

Administrator’s EIN 630903770
Plan administrator’s name BRUCE T SPINK, D. M. D., P. C.
Plan administrator’s address 4005 CROSSHAVEN DR, BIRMINGHAM, AL, 352435229
Administrator’s telephone number 2059678555

Signature of

Role Plan administrator
Date 2011-01-31
Name of individual signing BRUCE T. SPINK, D. M. D.
Role Employer/plan sponsor
Date 2011-01-31
Name of individual signing BRUCE T. SPINK, D. M. D.

Agent

Name Role
SPINK, BRUCE T Agent

Incorporator

Name Role
SPINK, BRUCE T DMD Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State