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Howell Family Dentistry, P.C.

Details

Name: Howell Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Mar 2004 (21 years ago) (Companies founded in March 2004)
Entity Number: 000-233-863
Register Number: 000233863
ZIP code: 36744 (Companies in Hale, 36744)
County: Hale
Place of Formation: Hale County
Principal Address: GREENSBORO, AL
Registered Office Street Address: 702 STATE STGREENSBORO, AL 36744
Authorized Capital: $1,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750486783 2006-09-14 2020-08-22 702 STATE ST, GREENSBORO, AL, 367442100, US 702 STATE ST, GREENSBORO, AL, 367442100, US

Contacts
Phone +1 334-624-7631
Fax 3346247693

Authorized person
Name DR. JENNIFER HOWELL
Role PRESIDENT
Phone 3346247631

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS/BLUE SHIELD
Number 51520180
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2023 200694523 2024-09-09 HOWELL FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing JENNIFER HOWELL
Valid signature Filed with authorized/valid electronic signature
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2022 200694523 2023-08-30 HOWELL FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2021 200694523 2022-09-13 HOWELL FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2020 200694523 2021-09-23 HOWELL FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2019 200694523 2020-07-15 HOWELL FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2018 200694523 2019-06-27 HOWELL FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2019-06-27
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2017 200694523 2018-07-11 HOWELL FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2016 200694523 2017-07-18 HOWELL FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2015 200694523 2016-06-29 HOWELL FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing JENNIFER HOWELL
HOWELL FAMILY DENTISTRY PROFIT SHARING PLAN 2014 200694523 2015-07-27 HOWELL FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3346247631
Plan sponsor’s address 702 STATE STREET, GREENSBORO, AL, 36744

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing JENNIFER HOWELL
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing JENNIFER HOWELL

Agent

Name Role
HOWELL, JENNIFER S Agent

Incorporator

Name Role
HOWELL, CYRUS P III Incorporator
HOWELL, JENNIFER S Incorporator

Related by officers

No related officers

Related by address

GREENSBORO, AL

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702 STATE STGREENSBORO, AL 36744

Osmund A. Coleman, Jr., D.M.D., P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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