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Endodontic Associates, P.C.

Details

Name: Endodontic Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 10 May 1989 (36 years ago) (Companies founded in May 1989)
Date of dissolution: 21 Dec 2021
Entity Number: 000-130-756
Register Number: 000130756
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1500 20TH STREET SOUTHBIRMINGHAM, AL 35205
Authorized Capital: $2,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043347701 2007-02-28 2020-08-22 4518 VALLEYDALE RD, SUITE 103, BIRMINGHAM, AL, 352424658, US 4518 VALLEYDALE RD, SUITE 103, BIRMINGHAM, AL, 352424658, US

Contacts

Phone +1 205-995-8200
Fax 2059809387

Authorized person

Name DR. BROWN FRANKLIN KIMBELL JR.
Role ENDODONTIST
Phone 2059958200

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
License Number 4234
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2020 631000018 2021-03-19 ENDODONTIC ASSOCIATES, P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2021-03-19
Name of individual signing BROWN FRANKLIN KIMBELL JR
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2019 631000018 2020-02-28 ENDODONTIC ASSOCIATES, P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2020-02-28
Name of individual signing BROWN FRANKLIN KIMBELL JR
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2018 631000018 2019-05-10 ENDODONTIC ASSOCIATES, P. C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2019-05-10
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2017 631000018 2018-05-21 ENDODONTIC ASSOCIATES, P. C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2016 631000018 2017-05-22 ENDODONTIC ASSOCIATES, P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2017-05-22
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2015 631000018 2016-02-19 ENDODONTIC ASSOCIATES, P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2016-02-19
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2014 631000018 2015-06-19 ENDODONTIC ASSOCIATES, P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2015-06-19
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2013 631000018 2014-06-11 ENDODONTIC ASSOCIATES, P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2056616050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2014-06-11
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2012 631000018 2013-06-11 ENDODONTIC ASSOCIATES, P. C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2058366050
Plan sponsor’s address 4700 MISTY RIDGE CIRCLE, BIRMINGHAM, AL, 35235

Signature of

Role Plan administrator
Date 2013-06-11
Name of individual signing THOMAS KING
ENDODONTIC ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2011 631000018 2012-03-29 ENDODONTIC ASSOCIATES, P. C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 2058366050
Plan sponsor’s address 628 GADSDEN HIGHWAY, SUITE 201, BIRMINGHAM, AL, 35235

Plan administrator’s name and address

Administrator’s EIN 631000018
Plan administrator’s name ENDODONTIC ASSOCIATES, P. C.
Plan administrator’s address 628 GADSDEN HIGHWAY, SUITE 201, BIRMINGHAM, AL, 35235
Administrator’s telephone number 2058366050

Signature of

Role Plan administrator
Date 2012-03-29
Name of individual signing THOMAS KING

Incorporator

Name Role
SMITH, JAMES A JR DMD Incorporator
KING, THOMAS P DMD Incorporator

Agent

Name Role
SMITH, JAMES A JR DMD Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State