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Ozark Family Dental, P.C.

Details

Name: Ozark Family Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Dec 1995 (29 years ago) (Companies founded in December 1995)
Entity Number: 000-176-405
Register Number: 000176405
ZIP code: 36360 (Companies in Dale, 36360)
County: Dale
Place of Formation: Dale County
Principal Address: OZARK, AL
Registered Office Street Address: 407 JAMES STOZARK, AL 36360
Authorized Capital: $1,000
Paid Share Capital: ----

Activities DENTAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972689305 2006-10-27 2020-08-22 415 A JAMES STREET, OZARK, AL, 36360, US 415 A JAMES STREET, OZARK, AL, 36360, US

Contacts
Phone +1 334-774-9329
Fax 3347747664

Authorized person
Name DR. JOSEPH ALLAN RICE
Role OWNER DENTIST
Phone 3347749329

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 4663
State AL
Is Primary Yes

Other Provider Identifiers
Issuer UNITED CONCORDIA INS
Number 796357
Issuer BCBS INS
Number 96344
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2023 631177055 2024-09-30 OZARK FAMILY DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2022 631177055 2023-10-11 OZARK FAMILY DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2021 631177055 2022-10-10 OZARK FAMILY DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2020 631177055 2021-04-05 OZARK FAMILY DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2019 631177055 2020-10-13 OZARK FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2018 631177055 2019-04-22 OZARK FAMILY DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2017 631177055 2018-10-08 OZARK FAMILY DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2016 631177055 2017-07-27 OZARK FAMILY DENTAL, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2015 631177055 2016-10-13 OZARK FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360
OZARK FAMILY DENTAL, P.C. PROFIT SHARING PLAN 2014 631177055 2015-07-30 OZARK FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3347749329
Plan sponsor’s address 415-A JAMES STREET, OZARK, AL, 36360

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing J. ALLAN RICE, DMD

Agent

Name Role Address
SMITH, CHARLES E Agent 144 MERCEDES LANECLEVELAND, AL 35049

Incorporator

Name Role Address
SMITH, CHARLES E Incorporator 144 MERCEDES LANECLEVELAND, AL 35049

Related by officers

SMITH, CHARLES E

P & S Marine Builders & Repair Co. Charles E. Smith, D.M.D., P.A. RIVERCHASE BEAUTY SALON, INC. Engine Services, Inc. Arrow-Smith Company, Inc. T & J Smiths, Inc. S & W Mining Co., Inc. Knight's Tire and Auto Service Center, Inc. R & C Construction Company, Inc. T & S Construction and Mining, Inc.

Related by address

OZARK, AL

Associated Builders Corporation, Inc. Aviation Corporation of America SouthTrust Bank of Ozark Beasley's, Inc. The Bracewell Company Douglas Brown Insurance Agency, Inc. Brown Manufacturing Corporation The Commercial Bank of Ozark, Alabama Dale Farmers Cooperative, Inc. Jerry Mitchell Chevrolet, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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