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Tuscaloosa Pediatric Dentistry, P.C.

Details

Name: Tuscaloosa Pediatric Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Apr 2007 (18 years ago) (Companies founded in April 2007)
Entity Number: 000-252-144
Register Number: 000252144
ZIP code: 35404 (Companies in Tuscaloosa, 35404)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 2415 VETERANS MEMORIAL PKWYTUSCALOOSA, AL 35404
Authorized Capital: $50

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588843635 2007-10-25 2007-10-25 2415 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL, 354044137, US 2415 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL, 354044137, US

Contacts

Phone +1 205-556-6100
Fax 2055566755

Authorized person

Name DR. WILLIAM WESLEY HOLLOWELL
Role PRESIDENT
Phone 2055566100

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5447
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TUSCALOOSA PEDIATRIC DENTISTRY RETIREMENT SAVINGS PLAN 2023 208681743 2024-08-13 TUSCALOOSA PEDIATRIC DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 2055566100
Plan sponsor’s address 2415 VETERANS MEMORIAL PARKWAY, TUSCALOOSA, AL, 35404

Agent

Name Role
HOLLOWELL, W WESLEY Agent

Incorporator

Name Role Address
LANIER, JOHN T Incorporator 10 LEE ROAD 895VALLEY, AL 36854

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State