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Dennis Plastic Surgery Center, P.C.

Details

Name: Dennis Plastic Surgery Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 15 Nov 1994 (30 years ago)
Date of dissolution: 20 Oct 2017
Entity Number: 000-167-943
Register Number: 000167943
Historical Names: Daniel A. Dennis, III, DMD, MD, P.C.
The Center for Plastic and Reconstructive Surgery, Inc.
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6701 AIRPORT BLVD STE B-216MOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: $5,000
Paid Share Capital: ----

Activities RENDERING MEDICAL SERVICES/PLASTIC & RECONSTRUCTIVE SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881676146 2005-11-14 2012-06-28 50B MIDTOWN PARK W, MOBILE, AL, 366064148, US 50B MIDTOWN PARK W, MOBILE, AL, 366064148, US

Contacts
Phone +1 251-435-5114
Fax 2514355116

Authorized person
Name DR. DANIEL A DENNNIS III
Role PRESIDENT/OWNER
Phone 2514355114

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENNIS PLASTIC SURGERY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2013 631130588 2014-05-13 DENNIS PLASTIC SURGERY CENTER, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2514355116
Plan sponsor’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607

Signature of
Role Plan administrator
Date 2014-05-13
Name of individual signing DANIEL A. DENNIS, III
DENNIS PLASTIC SURGERY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2012 631130588 2013-10-14 DENNIS PLASTIC SURGERY CENTER, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2514355116
Plan sponsor’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607

Plan administrator’s name and address
Administrator’s EIN 631130588
Plan administrator’s name DENNIS PLASTIC SURGERY CENTER, P.C.
Plan administrator’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607
Administrator’s telephone number 2514355116

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing DANIEL A. DENNIS, III
DENNIS PLASTIC SURGERY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2011 631130588 2012-10-15 DENNIS PLASTIC SURGERY CENTER, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2514355116
Plan sponsor’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607

Plan administrator’s name and address
Administrator’s EIN 631130588
Plan administrator’s name DENNIS PLASTIC SURGERY CENTER, P.C.
Plan administrator’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607
Administrator’s telephone number 2514355116

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DANIEL A. DENNIS, III
DENNIS PLASTIC SURGERY CENTER, P.C. 401(K) PROFIT SHARING PLAN 2010 631130588 2011-10-18 DENNIS PLASTIC SURGERY CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2514355116
Plan sponsor’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607

Plan administrator’s name and address
Administrator’s EIN 631130588
Plan administrator’s name DENNIS PLASTIC SURGERY CENTER, P.C.
Plan administrator’s address 3 MOBILE INFIRMARY CIRCLE SUITE 414, MOBILE, AL, 36607
Administrator’s telephone number 2514355116

Signature of
Role Plan administrator
Date 2011-10-18
Name of individual signing DANIEL A. DENNIS, III
DENNIS PLASTIC SURGERY CENTER, P.C. PROFIT SHARING PLAN 2009 631130588 2010-10-12 DENNIS PLASTIC SURGERY CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2513436101
Plan sponsor’s address 4310 OLD SHELL RD, SUITE E, MOBILE, AL, 366082049

Plan administrator’s name and address
Administrator’s EIN 631130588
Plan administrator’s name DENNIS PLASTIC SURGERY CENTER, P.C.
Plan administrator’s address 4310 OLD SHELL RD, MOBILE, AL, 366082049
Administrator’s telephone number 2513436101

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing DANIEL A. DENNIS, III

Agent

Name Role
DENNIS, DANIEL A III Agent

Incorporator

Name Role
DENNIS, DANIEL A III Incorporator

Events

Event Date Event Type Old Value New Value
2002-10-31 Name Change The Center for Plastic and Reconstructive Surgery, Inc. Dennis Plastic Surgery Center, P.C.
1997-11-17 Name Change Daniel A. Dennis, III, DMD, MD, P.C. The Center for Plastic and Reconstructive Surgery, Inc.

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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