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Greystone Orthodontics, Inc.

Details

Name: Greystone Orthodontics, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 15 Nov 2004 (20 years ago) (Companies founded in November 2004)
Entity Number: 000-238-257
Register Number: 000238257
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Shelby County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 5510 HWY 280 STE 201BIRMINGHAM, AL 35242
Authorized Capital: $100

Activities DENTAL TREATMENT/CONSULTATION

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669531745 2006-12-06 2020-08-22 5510 HIGHWAY 280, SUITE 201, BIRMINGHAM, AL, 352426579, US 5510 HIGHWAY 280, SUITE 201, BIRMINGHAM, AL, 352426579, US

Contacts

Phone +1 205-408-0894
Fax 2054080871

Authorized person

Name DR. JANA N ROBERTS
Role PRESIDENT
Phone 2054080894

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREYSTONE ORTHODONTICS, INC. 401K PLAN 2023 113736150 2024-05-10 GREYSTONE ORTHODONTICS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2054080894
Plan sponsor’s address 5510 US HIGHWAY 280, SUITE 201, BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of

Role Plan administrator
Date 2024-05-10
Name of individual signing ALAN SPAIN
GREYSTONE ORTHODONTICS, INC. 401K PLAN 2022 113736150 2023-04-30 GREYSTONE ORTHODONTICS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2054080894
Plan sponsor’s address 5510 HIGHWAY 280, SUITE 201, BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of

Role Plan administrator
Date 2023-04-30
Name of individual signing ALAN SPAIN
GREYSTONE ORTHODONTICS, INC. 401K PLAN 2021 113736150 2022-05-10 GREYSTONE ORTHODONTICS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2054080894
Plan sponsor’s address 5510 US HIGHWAY 280, SUITE 201, BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of

Role Plan administrator
Date 2022-05-10
Name of individual signing ALAN SPAIN

Agent

Name Role Address
ROBERTS, JANA NABORS Agent 2700 AL-LIN CIRCLEBIRMINGHAM, AL 35244

Incorporator

Name Role Address
ESTES, R TIMOTHY Incorporator 2188 PARKWAY LAKE DRIVE SUITE 101HOOVER, AL 35244

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State