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Griffin Family & Cosmetic Dentistry, P.C.

Details

Name: Griffin Family & Cosmetic Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Jun 2002 (22 years ago)
Entity Number: 000-223-731
Register Number: 000223731
Historical Names: Hazel Green Family Dentistry, P.C.
County: Madison
Place of Formation: Madison County
Principal Address: HAZEL GREEN, AL
Registered Office Street Address: 13596 HIGHWAY 231/431 N STE 6HAZEL GREEN, AL 35750
Registered Office Street Address ZIP Code: 35750
Authorized Capital: $1,000

Activities FAMILY DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245360643 2007-03-06 2020-08-22 13596 HWY 231-431 NORTH, SUITE 6, HAZEL GREEN, AL, 39750, US 13596 HWY 231-431 NORTH, SUITE 6, HAZEL GREEN, AL, 39750, US

Contacts
Phone +1 256-828-8980
Fax 2568288668

Authorized person
Name WILLIAM JOSEPH GRIFFIN JR.
Role DMD
Phone 2568288980

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 4845
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2023 611418060 2024-06-13 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2022 611418060 2023-04-19 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2021 611418060 2022-07-08 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2020 611418060 2021-02-08 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2019 611418060 2020-09-10 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2018 611418060 2019-06-05 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750

Plan administrator’s name and address
Administrator’s EIN 611418060
Plan administrator’s name GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C.
Plan administrator’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
Administrator’s telephone number 2568288980
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2017 611418060 2018-09-17 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750

Plan administrator’s name and address
Administrator’s EIN 611418060
Plan administrator’s name GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C.
Plan administrator’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
Administrator’s telephone number 2568288980
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2016 611418060 2017-07-17 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750

Plan administrator’s name and address
Administrator’s EIN 611418060
Plan administrator’s name GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C.
Plan administrator’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
Administrator’s telephone number 2568288980
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2015 611418060 2016-07-26 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750

Plan administrator’s name and address
Administrator’s EIN 611418060
Plan administrator’s name GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C.
Plan administrator’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
Administrator’s telephone number 2568288980
GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. RETIREMENT PLAN 2014 611418060 2015-07-28 GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2568288980
Plan sponsor’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750

Plan administrator’s name and address
Administrator’s EIN 611418060
Plan administrator’s name GRIFFIN FAMILY & COSMETIC DENTISTRY, P.C.
Plan administrator’s address 13596 HIGHWAY 231 431 N. #6, HAZEL GREEN, AL, 35750
Administrator’s telephone number 2568288980

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing BILL GRIFFIN, DMD

Agent

Name Role
GRIFFIN, WILLIAM J JR Agent

Incorporator

Name Role
GRIFFIN, WILLIAM J JR Incorporator

Events

Event Date Event Type Old Value New Value
2003-08-20 Name Change Hazel Green Family Dentistry, P.C. Griffin Family & Cosmetic Dentistry, P.C.

Related by officers

GRIFFIN, WILLIAM J JR

Hazel Green Family Dentistry, L.L.C.

Related by address

HAZEL GREEN, AL

Hazel Green Flyers, Inc. Pete's Auto Parts, Inc. Stewart Electric Company, Inc. B & J Auto Parts, Inc. AAG Plow Company, Inc. North Central Madison County Athletic Association Alabama Golden Gloves Association Redwood Designs, Inc. Automated Logistic Systems Corporation Walt Hennesse, Inc., a close corporation

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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