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East Taylor Dental, P.C.

Details

Name: East Taylor Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Apr 1993 (32 years ago) (Companies founded in April 1993)
Entity Number: 000-155-841
Register Number: 000155841
Historical Names: Eastdale Dental Group, P.C.
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 4711 ATLANTA HWYMONTGOMERY, AL 36117
Authorized Capital: 5000@$O.02PV
Paid Share Capital: $100

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720181852 2006-09-06 2020-08-22 2201 TAYLOR ROAD, MONTGOMERY, AL, 361173498, US 2201 TAYLOR ROAD, MONTGOMERY, AL, 361173498, US

Contacts
Phone +1 334-271-4600
Fax 3342714709

Authorized person
Name DR. KILLIAN JOSEPH HORNER
Role OWNER/PRESIDENT
Phone 3342714600

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

Other Provider Identifiers
Issuer UNITED CONCORDIA
Number 816933
Issuer BCBS
Number 90188
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2023 631088542 2024-05-29 EAST TAYLOR DENTAL, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 2201 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2024-05-29
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2022 631088542 2023-07-17 EAST TAYLOR DENTAL, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 2201 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2023-07-17
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2021 631088542 2022-04-25 EAST TAYLOR DENTAL, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 2201 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2022-04-25
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2022-04-25
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2020 631088542 2021-06-07 EAST TAYLOR DENTAL, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 2201 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2019 631088542 2020-06-02 EAST TAYLOR DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 2201 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2020-06-02
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2018 631088542 2019-05-08 EAST TAYLOR DENTAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 22001 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2019-05-08
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2017 631088542 2018-06-28 EAST TAYLOR DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 22001 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2018-04-21
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2016 631088542 2017-07-18 EAST TAYLOR DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 3342714600
Plan sponsor’s address 22001 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing KILLIAN HORNER
Role Employer/plan sponsor
Date 2017-07-18
Name of individual signing ANDREA L. HORNER
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2015 631088542 2016-07-15 EAST TAYLOR DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 3342714600
Plan sponsor’s address 22001 TAYLOR ROAD, MONTGOMERY, AL, 36117
EAST TAYLOR DENTAL, P.C. 401(K) PROFIT SHARING PL 2014 631088542 2015-07-06 EAST TAYLOR DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 3342714600
Plan sponsor’s address 22001 TAYLOR ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing KILLIAN J. HORNER D.D.S

Agent

Name Role Address
HORNER, KILLIAN J Agent 8484 ROCKBRIDGE CIRCLEMONTGOMERY, AL 36116

Incorporator

Name Role Address
HORNER, KILLIAN J Incorporator 8484 ROCKBRIDGE CIRCLEMONTGOMERY, AL 36116

Events

Event Date Event Type Old Value New Value
2021-01-15 Capital Change $100 Authorized $100 Paid In 5000@$O.02PV Authorized $100 Paid In
1999-08-25 Name Change Eastdale Dental Group, P.C. East Taylor Dental, P.C.

Related by officers

HORNER, KILLIAN J

K & A Real Estate I, LLC K & A Real Estate II, LLC Horner Asset Management, LLC Horner Family Limited Partnership Horner Investment Properties, L.L.C.

Related by address

4711 ATLANTA HWYMONTGOMERY, AL 36117

Horner Investment Properties, L.L.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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