Dothan Cosmetic Dentistry, P.C.

Details

Name:	Dothan Cosmetic Dentistry, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	29 Dec 2006 (18 years ago)
Entity Number:	000-250-448
Register Number:	000250448
County:	Houston
Place of Formation:	Houston County
Principal Address:	DOTHAN, AL
Registered Office Street Address:	2431 WEST MAIN ST STE 401DOTHAN, AL 36301
Registered Office Street Address ZIP Code:	36301
Authorized Capital:	$1,000
Paid Share Capital:	$1,000

Activities GENERAL/COSMETIC DENTISTRY PRACTICE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1821383035

2011-06-15

2011-06-15

2431 W MAIN ST, SUITE 401, DOTHAN, AL, 363011217, US

2431 W MAIN ST, SUITE 401, DOTHAN, AL, 363011217, US

Contacts

Phone	+1 334-673-7440
Fax	3346737528

Authorized person

Name	DR. GEOFFREY MATHEWS GAUNT
Role	OWNER
Phone	3346737440

Taxonomy

Taxonomy Code	1223G0001X - General Practice Dentistry
License Number	4432
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DOTHAN COSMETIC DENTISTRY, P.C. 401(K) PLAN

2023

208127217

2024-10-15

DOTHAN COSMETIC DENTISTRY, P.C.

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	3346737440
Plan sponsor’s address	2431 W. MAIN STREET, SUITE 401, DOTHAN, AL, 36301

DOTHAN COSMETIC DENTISTRY, P.C. 401(K) PLAN

2022

208127217

2023-10-16

DOTHAN COSMETIC DENTISTRY, P.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	3346737440
Plan sponsor’s address	2431 W. MAIN STREET, SUITE 401, DOTHAN, AL, 36301

DOTHAN COSMETIC DENTISTRY, P.C. 401(K) PLAN

2021

208127217

2022-10-14

DOTHAN COSMETIC DENTISTRY, P.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	3346737440
Plan sponsor’s address	2431 W. MAIN STREET, SUITE 401, DOTHAN, AL, 36301

DOTHAN COSMETIC DENTISTRY, P.C. 401(K) PLAN

2020

208127217

2021-10-14

DOTHAN COSMETIC DENTISTRY, P.C.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	3346737440
Plan sponsor’s address	2431 W. MAIN STREET, SUITE 401, DOTHAN, AL, 36301

DOTHAN COSMETIC DENTISTRY, P.C. 401(K) PLAN

2019

208127217

2020-08-27

DOTHAN COSMETIC DENTISTRY, P.C.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	3346737440
Plan sponsor’s address	2431 W. MAIN STREET, SUITE 401, DOTHAN, AL, 36301

Agent

Name	Role
GAUNT, GEOFF	Agent

Incorporator

Name	Role
GAUNT, GEOFF	Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State