Pediatric Dentistry of Mobile, P.C.

Contacts

Phone	+1 251-342-5979

Authorized person

Name	DR. JOEL WELFORD
Role	PEDIATRIC DENTIST
Phone	2513425979

Taxonomy

Taxonomy Code	122300000X - Dentist
License Number	4610
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

Signature of

Role	Plan administrator
Date	2024-07-02
Name of individual signing	JOEL WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

Signature of

Role	Plan administrator
Date	2024-07-02
Name of individual signing	JOEL B WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

Signature of

Role	Plan administrator
Date	2022-07-21
Name of individual signing	JOEL B WELFORD

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	2516338883
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE ALABAMA, AL, 36608

Signature of

Role	Plan administrator
Date	2022-07-21
Name of individual signing	JOEL WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2513425979
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE, AL, 366083134

Signature of

Role	Plan administrator
Date	2021-03-16
Name of individual signing	JOEL B WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2513425979
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE, AL, 366083134

Signature of

Role	Plan administrator
Date	2020-07-01
Name of individual signing	JOEL B WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2513425979
Plan sponsor’s address	4732 AIRPORT BLVD., MOBILE, AL, 366083134

Signature of

Role	Plan administrator
Date	2019-05-21
Name of individual signing	JOEL B WELFORD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1997-01-01
Business code	621210
Sponsor’s telephone number	2513425979
Plan sponsor’s address	4732 AIRPORT BOULEVARD, MOBILE, AL, 366083134

Signature of

Role	Plan administrator
Date	2018-03-02
Name of individual signing	JOEL B WELFORD