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Kinsey Dental Associates, P.C.

Details

Name: Kinsey Dental Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Jul 1996 (28 years ago)
Entity Number: 000-181-040
Register Number: 000181040
County: Cullman
Place of Formation: Jefferson County
Registered Office Street Address: 108 BROOKLYN RDHOLLY POND, AL 35083
Registered Office Street Address ZIP Code: 35083
Authorized Capital: $1,000

Activities DENTAL CARE FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063926426 2017-11-21 2017-11-21 5820 MCCLELLAN BLVD, ANNISTON, AL, 362068466, US 5820 MCCLELLAN BLVD, ANNISTON, AL, 362068466, US

Contacts
Phone +1 256-820-5570
Fax 2568205322

Authorized person
Name DR. DAVID CHARLES KINSEY
Role PRESIDENT
Phone 2568205570

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 3946
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KINSEY DENTAL ASSOCIATES, PC PROFIT SHARING PLAN 2013 631176609 2014-09-29 KINSEY DENTAL ASSOCIATES, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621391
Sponsor’s telephone number 2567965436
Plan sponsor’s address 1383 MOUNTAIN LAKE ROAD, WARRIOR, AL, 35180

Signature of
Role Plan administrator
Date 2014-09-29
Name of individual signing DAVID KINSEY
KINSEY DENTAL ASSOCIATES, PC PROFIT SHARING PLAN 2012 631176609 2013-06-26 KINSEY DENTAL ASSOCIATES, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621391
Sponsor’s telephone number 2567965436
Plan sponsor’s address 1383 MOUNTAIN LAKE ROAD, WARRIOR, AL, 35180

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing DAVID KINSEY
KINSEY DENTAL ASSOCIATES, PC PROFIT SHARING PLAN 2011 631176609 2012-07-18 KINSEY DENTAL ASSOCIATES, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621391
Sponsor’s telephone number 2567965436
Plan sponsor’s address 1383 MOUNTAIN LAKE ROAD, WARRIOR, AL, 35180

Plan administrator’s name and address
Administrator’s EIN 631176609
Plan administrator’s name KINSEY DENTAL ASSOCIATES, P.C.
Plan administrator’s address 1383 MOUNTAIN LAKE ROAD, WARRIOR, AL, 35180
Administrator’s telephone number 2567965436

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing DAVID KINSEY
KINSEY DENTAL ASSOCIATES, PC PROFIT SHARING PLAN 2010 631176609 2011-06-17 KINSEY DENTAL ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621391
Sponsor’s telephone number 2567965436
Plan sponsor’s address PO BOX 145, HOLLY POND, AL, 350830145

Plan administrator’s name and address
Administrator’s EIN 631176609
Plan administrator’s name KINSEY DENTAL ASSOCIATES, P.C.
Plan administrator’s address PO BOX 145, HOLLY POND, AL, 350830145
Administrator’s telephone number 2567965436

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing DAVID KINSEY
KINSEY DENTAL ASSOCIATES, PC PROFIT SHARING PLAN 2009 631176609 2010-07-23 KINSEY DENTAL ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621391
Sponsor’s telephone number 2567965436
Plan sponsor’s address PO BOX 145, HOLLY POND, AL, 350830145

Plan administrator’s name and address
Administrator’s EIN 631176609
Plan administrator’s name KINSEY DENTAL ASSOCIATES, P.C.
Plan administrator’s address PO BOX 145, HOLLY POND, AL, 350830145
Administrator’s telephone number 2567965436

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing DAVID KINSEY

Incorporator

Name Role Address
LYLE, JOHN F III Incorporator PO BOX 2329FAIRHOPE, AL 36533

Agent

Name Role Address
KINSEY, DAVID C Agent 3519 HARFRIER ROADTRUSSVILLE, AL 35173

Director

Name Role Address
KINSEY, DAVID C Director 3519 HARFRIER ROADTRUSSVILLE, AL 35173
KINSEY, ANGEL R Director 3519 HARRIER ROADTRUSSVILLE, AL 35173

Related by officers

LYLE, JOHN F III

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Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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