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KERPER ENDODONTICS, P.C.

Details

Name: KERPER ENDODONTICS, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Sep 1998 (26 years ago)
Entity Number: 000-198-290
Register Number: 000198290
Historical Names: Timothy A. Kerper, D.M.D. P.C.
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 230 EAST 10TH ST STE 204, MEDICAL ARTS BLDGANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720482417 2014-10-09 2014-10-09 626A LEIGHTON AVE, ANNISTON, AL, 362075744, US 626A LEIGHTON AVE, ANNISTON, AL, 362075744, US

Contacts
Phone +1 256-237-8174
Fax 2562378805

Authorized person
Name DR. TIMOTHY A KERPER
Role OWNER / ENDODONTIST
Phone 2562378174

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2016 631209170 2019-12-07 TIMOTHY A. KERPER, D.M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2019-12-07
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2015 631209170 2016-06-28 TIMOTHY A. KERPER, D.M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2014 631209170 2015-05-16 TIMOTHY A. KERPER, D.M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2015-05-16
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2013 631209170 2014-04-18 TIMOTHY A. KERPER, D.M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2012 631209170 2013-07-30 TIMOTHY A. KERPER, D.M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2011 631209170 2012-06-30 TIMOTHY A. KERPER, D.M.D., P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing TIMOTHY A KERPER D.M.D
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2010 631209170 2011-06-06 TIMOTHY A. KERPER, D.M.D., P.C. 5
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2011-06-05
Name of individual signing TIMOTHY A. KERPER, D.M.D.
Role Employer/plan sponsor
Date 2011-06-05
Name of individual signing TIMOTHY A. KERPER, D.M.D.
TIMOTHY A. KERPER RETIREMENT SAVINGS PLAN 2009 631209170 2010-07-17 TIMOTHY A. KERPER, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2562378174
Plan sponsor’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 631209170
Plan administrator’s name TIMOTHY A. KERPER, D.M.D., P.C.
Plan administrator’s address 626-A LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562378174

Signature of
Role Plan administrator
Date 2010-07-17
Name of individual signing TIMOTHY A. KERPER, D.M.D.
Role Employer/plan sponsor
Date 2010-07-17
Name of individual signing TIMOTHY A. KERPER, D.M.D.

Agent

Name Role
KERPER, TIMOTHY A Agent

Incorporator

Name Role
KERPER, TIMOTHY A Incorporator

Events

Event Date Event Type Old Value New Value
2021-01-25 Name Change Timothy A. Kerper, D.M.D. P.C. KERPER ENDODONTICS, P.C.

Related by officers

KERPER, TIMOTHY A

K & L Properties, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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