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Bayside Dental Associates, P.C.

Details

Name: Bayside Dental Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 30 Mar 1994 (31 years ago)
Date of dissolution: 29 Dec 2023
Entity Number: 000-163-233
Register Number: 000163233
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 2020 ROSEDALE ROADMOBILE, AL 36605
Registered Office Street Address ZIP Code: 36605
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities PRACTICE OF DENTISTRY & DENTAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871082891 2018-05-04 2018-05-04 2020 ROSEDALE RD, MOBILE, AL, 366053167, US 2020 ROSEDALE RD, MOBILE, AL, 366053167, US

Contacts
Phone +1 215-476-6966

Authorized person
Name DR. MICHAEL A LARTIGUE
Role PRESIDENT
Phone 2514766966

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 631115071 2016-07-26 BAYSIDE DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 631115071 2015-10-07 BAYSIDE DENTAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing MICHAEL LARTIGUE, DMD
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 631115071 2014-10-06 BAYSIDE DENTAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing MICHAEL LARTIGUE, DMD
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 631115071 2013-09-30 BAYSIDE DENTAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Plan administrator’s name and address
Administrator’s EIN 631115071
Plan administrator’s name BAYSIDE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167
Administrator’s telephone number 2514766967

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing MICHAEL LARTIGUE, DMD
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 631115071 2012-10-11 BAYSIDE DENTAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Plan administrator’s name and address
Administrator’s EIN 631115071
Plan administrator’s name BAYSIDE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167
Administrator’s telephone number 2514766967

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing MICHAEL LARTIGUE, DMD
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 631115071 2011-10-10 BAYSIDE DENTAL ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Plan administrator’s name and address
Administrator’s EIN 631115071
Plan administrator’s name BAYSIDE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167
Administrator’s telephone number 2514766967

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing MICHAEL LARTIGUE, DMD
BAYSIDE DENTAL ASSOCIATES, P.C. PROFIT SHARING PL AN 2009 631115071 2010-10-13 BAYSIDE DENTAL ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2514766967
Plan sponsor’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167

Plan administrator’s name and address
Administrator’s EIN 631115071
Plan administrator’s name BAYSIDE DENTAL ASSOCIATES, P.C.
Plan administrator’s address 2020 ROSEDALE RD, MOBILE, AL, 366053167
Administrator’s telephone number 2514766967

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing MICHAEL LARTIGUE, DMD

Agent

Name Role
LARTIGUE, MICHAEL Agent

Incorporator

Name Role
LARTIGUE, MICHAEL Incorporator

Related by officers

No related officers

Related by address

MOBILE, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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