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Inverness Family Dentistry, P.C.

Details

Name: Inverness Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 10 Aug 1990 (34 years ago)
Date of dissolution: 18 Jan 2023
Entity Number: 000-138-501
Register Number: 000138501
County: Shelby
Place of Formation: Shelby County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 420 INVERNESS CORNERSBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242
Authorized Capital: $100

Activities DENTAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144423336 2007-06-06 2020-08-22 202 INVERNESS CENTER DR, SUITE 301, BIRMINGHAM, AL, 352427633, US 202 INVERNESS CENTER DR, SUITE 301, BIRMINGHAM, AL, 352427633, US

Contacts
Phone +1 205-991-8939
Fax 2059955028

Authorized person
Name FRANKIE P. ROTHE
Role OFFICE MANAGER
Phone 2059918939

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2021 631033202 2022-10-13 INVERNESS FAMILY DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2020 631033202 2021-07-22 INVERNESS FAMILY DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2019 631033202 2020-06-30 INVERNESS FAMILY DENTISTRY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2018 631033202 2019-07-25 INVERNESS FAMILY DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2017 631033202 2018-07-26 INVERNESS FAMILY DENTISTRY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2016 631033202 2017-10-16 INVERNESS FAMILY DENTISTRY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2015 631033202 2016-10-14 INVERNESS FAMILY DENTISTRY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2014 631033202 2015-10-14 INVERNESS FAMILY DENTISTRY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2013 631033202 2014-10-15 INVERNESS FAMILY DENTISTRY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing DOUG MARTIN
INVERNESS FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2012 631033202 2014-01-24 INVERNESS FAMILY DENTISTRY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621210
Sponsor’s telephone number 2059918939
Plan sponsor’s address 202 INVERNESS CENTER DRIVE, SUITE 301, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2014-01-24
Name of individual signing DOUG MARTIN

Incorporator

Name Role
MARTIN, CHARLES DOUGLAS Incorporator
HAYWOOD, JOHN TIMOTHY Incorporator

Agent

Name Role
MARTIN, CHARLES DOUGLAS Agent

Related by officers

HAYWOOD, JOHN TIMOTHY

Inverness Dental Associates, L.L.C.

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420 INVERNESS CORNERSBIRMINGHAM, AL 35242

Chiropractic Today, Limited Liability Company Inverness Dental Associates, L.L.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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