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Advanced Endodontics, P.C.

Details

Name: Advanced Endodontics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 18 Jun 2001 (23 years ago) (Companies founded in June 2001)
Date of dissolution: 28 Mar 2024
Entity Number: 000-217-591
Register Number: 000217591
ZIP code: 35203 (Companies in Jefferson, 35203)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1801 FIFTH AVENUE N STE 400BIRMINGHAM, AL 35203
Authorized Capital: $1,000

Activities PRACTICE OF ENDODONTIC MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710594320 2020-09-28 2020-09-28 1500 20TH ST S, BIRMINGHAM, AL, 352054916, US 1500 20TH ST S, BIRMINGHAM, AL, 352054916, US

Contacts
Phone +1 205-933-8544

Authorized person
Name MRS. KATRINA HENRICKSON
Role OFFICE MANAGER
Phone 2059338544

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2015 631277490 2016-02-23 ADVANCED ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s DBA name C.
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2016-02-22
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2014 631277490 2015-02-02 ADVANCED ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s DBA name C.
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2015-02-02
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2013 631277490 2014-03-11 ADVANCED ENDODONTICS, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s DBA name C.
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2014-03-11
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2012 631277490 2013-02-26 ADVANCED ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s DBA name C.
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2013-02-25
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2011 631277490 2012-02-23 ADVANCED ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s DBA name C.
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2012-02-23
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2010 631277490 2011-03-02 ADVANCED ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2011-03-01
Name of individual signing JAMES SMITH
ADVANCED ENDODONTICS, P.C. 401(K) PLAN 2009 631277490 2010-07-21 ADVANCED ENDODONTICS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2059338412
Plan sponsor’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 631277490
Plan administrator’s name ADVANCED ENDODONTICS, P.C.
Plan administrator’s address 1500 20TH STREET SOUTH, BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059338412

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing JAMES SMITH

Agent

Name Role Address
FOX, KELLY T Agent 2001 PARK PLACE NORTHBIRMINGHAM, AL 35203

Incorporator

Name Role Address
THOMPSON, J KEN Incorporator 3313 SPRINGHILL RDBIRMINGHAM, AL 35223

Related by officers

FOX, KELLY T

Southeast Materials, LLC CDC-Kennesaw, LLC Southeast Materials Corporation The South Shelby Chamber of Commerce, Inc. TekSouth Corporation Divine Providence Development, Inc. Bill's Bacca, Inc. Uptown Birmingham Partners, LLC PTT Properties, LLC Billy & David, LLC

THOMPSON, J KEN

Southeast Solutions, LLC FAN-AID,LLC Faulkner Industrial Maintenance Co., Inc. TELECOM DESIGN SOLUTIONS, INC. Island Holdings, Inc. Crumpton Edge, P.C. ProCon Technologies, Inc. East Montgomery Chiropractic Center, P.C. Alabama Rentals, Inc. Opthalmic Marketing Group, Inc.

Related by address

BIRMINGHAM, AL

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1801 FIFTH AVENUE N STE 400BIRMINGHAM, AL 35203

Southeast Materials, LLC CRTV software, LLC AVP, LLC Southeast Materials Corporation TekSouth Corporation Divine Providence Development, Inc. Uptown Birmingham Partners, LLC PTT Properties, LLC Billy & David, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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