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Wilson & Fiquett, D.M.D., P.C.

Details

Name: Wilson & Fiquett, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Sep 1987 (37 years ago)
Entity Number: 000-119-306
Register Number: 000119306
Historical Names: Mark C. Wilson, D.M.D., P.C.
County: De Kalb
Place of Formation: DeKalb County
Principal Address: FORT PAYNE, AL
Registered Office Street Address: 2207-F N GAULT AVEFORT PAYNE, AL 35967
Registered Office Street Address ZIP Code: 35967
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336239086 2006-10-13 2020-08-22 110 23RD ST NW, FORT PAYNE, AL, 359673671, US 110 23RD ST NW, FORT PAYNE, AL, 359673671, US

Contacts
Phone +1 256-845-0765
Fax 2568459895

Authorized person
Name DR. MARK CLINTON WILSON
Role PRESIDENT
Phone 2568450765

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2023 630961197 2024-02-08 WILSON & FIQUETT, D.M.D., P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2023 630961197 2024-05-14 WILSON & FIQUETT, D.M.D., P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2022 630961197 2023-03-15 WILSON & FIQUETT, D.M.D., P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2021 630961197 2022-03-15 WILSON & FIQUETT, D.M.D., P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2020 630961197 2021-05-17 WILSON & FIQUETT, D.M.D., P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2019 630961197 2020-05-26 WILSON & FIQUETT, D.M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2018 630961197 2019-06-27 WILSON & FIQUETT, D.M.D., P.C. 19
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2018 630961197 2019-06-27 WILSON & FIQUETT, D.M.D., P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765
WILSON & FIQUETT, D.M.D., P.C. PROFIT SHARING PLAN AND TRUST 2017 630961197 2019-06-20 WILSON & FIQUETT, D.M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-12-01
Business code 621210
Sponsor’s telephone number 2568450765
Plan sponsor’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967

Plan administrator’s name and address
Administrator’s EIN 630961197
Plan administrator’s name WILSON & FIQUETT, D.M.D., P.C.
Plan administrator’s address 110 23RD STREET NW, FORT PAYNE, AL, 35967
Administrator’s telephone number 2568450765

Agent

Name Role
WILSON, MARK C DMD Agent

Incorporator

Name Role
WILSON, MARK C DMD Incorporator

Events

Event Date Event Type Old Value New Value
1998-05-07 Name Change Mark C. Wilson, D.M.D., P.C. Wilson & Fiquett, D.M.D., P.C.

Related by officers

No related officers

Related by address

FORT PAYNE, AL

Pioneer Credit Company Dixie Express, Inc. DeSoto Country Club, Inc. The Fort Payne Athletic Assoc. Hi-Jac Corporation Horton Auto Parts, Incorporated Kirby Enterprises, Inc. L. D. McReynolds, Inc,. Ala-Tenn Valley Cotton Co., Inc. Mountain View Memory Gardens & Mausoleum, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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