Menu
Search icon

Stafford Dental, P.C.

Details

Name: Stafford Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Dec 2004 (20 years ago) (Companies founded in December 2004)
Entity Number: 000-238-917
Register Number: 000238917
Place of Formation: Walker County
Principal Address: JASPER, AL
Registered Office Street Address: 803 AIRPORT RDJASPER, AL 35507
Authorized Capital: $5,000

Activities PRACTICE DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457732588 2015-06-15 2015-06-15 300 N AIRPORT RD, STE 1, JASPER, AL, 355042517, US 300 N AIRPORT RD, STE 1, JASPER, AL, 355042517, US

Contacts
Phone +1 205-221-6700
Fax 2052219194

Authorized person
Name DR. MYRA MONTGOMERY STAFFORD
Role OWNER
Phone 2052216700

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3788
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2015 202025552 2016-07-29 STAFFORD DENTAL, P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s DBA name STAFFORD DENTAL, P.C.
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2014 202025552 2015-10-12 STAFFORD DENTAL, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2013 202025552 2014-07-28 STAFFORD DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2012 202025552 2013-07-31 STAFFORD DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing MYRA STAFFORD
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2011 202025552 2012-07-31 STAFFORD DENTAL, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s DBA name STAFFORD DENTAL, P.C.
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Plan administrator’s name and address
Administrator’s EIN 202025552
Plan administrator’s name STAFFORD DENTAL, P.C.
Plan administrator’s address 606 THE TRACE WEST, JASPER, AL, 35504
Administrator’s telephone number 2052216700

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2010 202025552 2011-07-27 STAFFORD DENTAL, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s DBA name STAFFORD DENTAL, P.C.
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Plan administrator’s name and address
Administrator’s EIN 202025552
Plan administrator’s name STAFFORD DENTAL, P.C.
Plan administrator’s address 606 THE TRACE WEST, JASPER, AL, 35504
Administrator’s telephone number 2052216700

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing MYRA STAFFORD
MYRA M. STAFFORD, DMD PROFIT SHARING PLAN AND TRUST 2009 202025552 2010-07-23 STAFFORD DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 2052216700
Plan sponsor’s DBA name STAFFORD DENTAL, P.C.
Plan sponsor’s address 606 THE TRACE WEST, JASPER, AL, 35504

Plan administrator’s name and address
Administrator’s EIN 202025552
Plan administrator’s name STAFFORD DENTAL, P.C.
Plan administrator’s address 606 THE TRACE WEST, JASPER, AL, 35504
Administrator’s telephone number 2052216700

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing MYRA STAFFORD

Incorporator

Name Role
STAFFORD, MYRA Incorporator

Agent

Name Role
STAFFORD, MYRA Agent

Related by officers

No related officers

Related by address

JASPER, AL

Viking Office Supply, Inc. Allied Steel Products Corporation American Glass Company, Inc. B G's Inc. Uptown Motors, Inc. Gardner Homes, Inc. Bankhead-Gardner, Inc. John H. Bankhead & Company, Inc. Barton Drug of Jasper, Inc. Bishop Coal Company, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com, Part of Big Data Integrated