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Plastic Surgery Associates of Montgomery, P.C.

Details

Name: Plastic Surgery Associates of Montgomery, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 May 1991 (34 years ago) (Companies founded in May 1991)
Entity Number: 000-143-145
Register Number: 000143145
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 6727 TAYLOR CTMONTGOMERY, AL 36117
Authorized Capital: $5,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417372749 2014-02-24 2014-02-24 6727 TAYLOR CT, MONTGOMERY, AL, 361177708, US 6727 TAYLOR CT, MONTGOMERY, AL, 361177708, US

Contacts

Phone +1 334-284-2800
Fax 3342840438

Authorized person

Name DR. MICHAEL P BENTLEY
Role SURGEON/PRESIDENT
Phone 3342842800

Taxonomy

Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 12601
State AL
Is Primary Yes
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 12411
State AL
Is Primary No
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 14727
State AL
Is Primary No
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 24023
State AL
Is Primary No
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 12601
State AL
Is Primary No
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 12411
State AL
Is Primary No
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 14727
State AL
Is Primary No
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 24023
State AL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2023 631045461 2024-07-25 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2022 631045461 2023-06-20 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2021 631045461 2022-05-11 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2020 631045461 2021-04-22 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2019 631045461 2020-10-14 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2018 631045461 2019-09-27 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2017 631045461 2018-05-10 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2016 631045461 2017-07-21 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2015 631045461 2016-10-12 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117
PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2014 631045461 2015-10-02 PLASTIC SURGERY ASSOCIATES OF MONTGOMERY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342842800
Plan sponsor’s address 6727 TAYLOR COURT, MONTGOMERY, AL, 36117

Agent

Name Role
BUDNY, PATRICK J Agent

Incorporator

Name Role Address
HUTCHINSON, HENRY H Incorporator NOT POVIDEDMONTGOMERY, AL 36102-2069

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State