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Auburn Pediatric Dentistry, P.C.

Details

Name: Auburn Pediatric Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 14 Mar 2006 (19 years ago)
Entity Number: 000-246-189
Register Number: 000246189
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 841 NORTH DEAN RDAUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063618528 2007-06-22 2020-08-22 841 NORTH DEAN ROAD, AUBURN, AL, 36830, US 841 NORTH DEAN ROAD, AUBURN, AL, 36830, US

Contacts

Phone +1 334-826-6651
Fax 3348266657

Authorized person

Name DR. CHARLES REW GREENLEAF
Role OWNER, DENTIST
Phone 3348266651

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5385
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUBURN PEDIATRIC DENTISTRY 401(K) PLAN 2022 204710108 2023-10-12 AUBURN PEDIATRIC DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3348266651
Plan sponsor’s address 841 N. DEAN RD., AUBURN, AL, 36830
AUBURN PEDIATRIC DENTISTRY 401(K) PLAN 2021 204710108 2022-07-11 AUBURN PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3348266651
Plan sponsor’s address 841 N. DEAN RD., AUBURN, AL, 36830
AUBURN PEDIATRIC DENTISTRY 401(K) PLAN 2020 204710108 2021-06-22 AUBURN PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3348266651
Plan sponsor’s address 841 N. DEAN RD., AUBURN, AL, 36830
AUBURN PEDIATRIC DENTISTRY 401(K) PLAN 2019 204710108 2020-08-11 AUBURN PEDIATRIC DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3348266651
Plan sponsor’s address 841 N. DEAN RD., AUBURN, AL, 36830
AUBURN PEDIATRIC DENTISTRY 401(K) PLAN 2018 204710108 2019-07-08 AUBURN PEDIATRIC DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3348266651
Plan sponsor’s address 841 N. DEAN RD., AUBURN, AL, 36830

Agent

Name Role
GREENLEAF, CHARLES R Agent

Incorporator

Name Role
GREENLEAF, CHARLES R Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State