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Satsuma Family Dental, P.C.

Details

Name: Satsuma Family Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Aug 1997 (27 years ago) (Companies founded in August 1997)
Entity Number: 000-190-233
Register Number: 000190233
Historical Names: Diana L. Sterling Tedder, D.M.D., P.C.
ZIP code: 36602 (Companies in Mobile, 36602)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 107 ST FRANCIS STREET, STE 1206MOBILE, AL 36602
Authorized Capital: $1,000

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730725045 2019-11-21 2021-07-29 5651 HIGHWAY 43, SATSUMA, AL, 365722115, US 5651 HIGHWAY 43, SATSUMA, AL, 365722115, US

Contacts
Phone +1 251-679-9428

Authorized person
Name DIANA TEDDER
Role OWNER
Phone 2516799428

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SATSUMA FAMILY DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2012 721392871 2013-10-15 SATSUMA FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2516799428
Plan sponsor’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115

Plan administrator’s name and address
Administrator’s EIN 721392871
Plan administrator’s name SATSUMA FAMILY DENTAL, P.C.
Plan administrator’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115
Administrator’s telephone number 2516799428

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DIANA L. STERLING TEDDER, D.M.D.
SATSUMA FAMILY DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2011 721392871 2012-07-12 SATSUMA FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2516799428
Plan sponsor’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115

Plan administrator’s name and address
Administrator’s EIN 721392871
Plan administrator’s name SATSUMA FAMILY DENTAL, P.C.
Plan administrator’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115
Administrator’s telephone number 2516799428

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing DIANA L. STERLING TEDDER, D.M.D.
SATSUMA FAMILY DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2010 721392871 2011-10-11 SATSUMA FAMILY DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2516799428
Plan sponsor’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115

Plan administrator’s name and address
Administrator’s EIN 721392871
Plan administrator’s name SATSUMA FAMILY DENTAL, P.C.
Plan administrator’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115
Administrator’s telephone number 2516799428

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing DIANA L. STERLING TEDDER, D.M.D.
SATSUMA FAMILY DENTAL, P.C. 401(K) PROFIT SHARING PLAN 2009 721392871 2010-10-07 SATSUMA FAMILY DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2516799428
Plan sponsor’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115

Plan administrator’s name and address
Administrator’s EIN 721392871
Plan administrator’s name SATSUMA FAMILY DENTAL, P.C.
Plan administrator’s address 5651 HIGHWAY 43 N., SATSUMA, AL, 365722115
Administrator’s telephone number 2516799428

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing DIANA L. STERLING TEDDER, D.M.D.

Agent

Name Role
PONTENOT, GILBERT L Agent

Incorporator

Name Role
TEDDER, DIANA L STERLING Incorporator

Events

Event Date Event Type Old Value New Value
2004-03-10 Name Change Diana L. Sterling Tedder, D.M.D., P.C. Satsuma Family Dental, P.C.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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