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Kingry Orthodontics, P.C.

Details

Name: Kingry Orthodontics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Jul 2001 (23 years ago)
Entity Number: 000-217-522
Register Number: 000217522
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 3024 VAUGHN RDMONTGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106
Authorized Capital: $1,000

Activities ORTHODONTIST

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720417280 2013-11-05 2013-11-05 8101 SEATON PL, SUITE A, MONTGOMERY, AL, 361167205, US 8101 SEATON PL, SUITE A, MONTGOMERY, AL, 361167205, US

Contacts
Phone +1 334-272-4900
Fax 3344099933

Authorized person
Name DR. GIPSON MARK KINGRY
Role ORTHODONTIST
Phone 3342724900

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 4440
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2023 631279549 2024-07-29 KINGRY ORTHODONTICS, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2022 631279549 2023-06-14 KINGRY ORTHODONTICS, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2021 631279549 2022-08-04 KINGRY ORTHODONTICS, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2022-08-04
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2020 631279549 2021-10-06 KINGRY ORTHODONTICS, P.C 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2019 631279549 2020-10-15 KINGRY ORTHODONTICS, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2018 631279549 2019-07-28 KINGRY ORTHODONTICS, P.C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2019-07-28
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2017 631279549 2018-10-14 KINGRY ORTHODONTICS, P.C 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2018-10-14
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2016 631279549 2017-10-15 KINGRY ORTHODONTICS, P.C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2017-10-15
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2015 631279549 2016-10-17 KINGRY ORTHODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing MARK KINGRY
KINGRY ORTHODONTICS, P.C. 401(K) PLAN 2014 631279549 2015-10-14 KINGRY ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342724900
Plan sponsor’s address 8101 SEATON PLACE, SUITE A, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing MARK KINGRY

Agent

Name Role
KINGRY, G MARK Agent

Incorporator

Name Role
KINGRY, G MARK Incorporator

Related by officers

KINGRY, G MARK

Explorers Capital, L.L.C. Kingry Properties, L.L.C.

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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