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Southern Dentistry, P.C.

Details

Name: Southern Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Sep 2007 (17 years ago)
Entity Number: 000-254-493
Register Number: 000254493
County: Baldwin
Place of Formation: Baldwin County
Principal Address: FAIRHOPE, AL
Registered Office Street Address: 751 GAYFER AVEFAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487817987 2008-07-03 2008-07-03 8477A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 365268714, US 8477A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 365268714, US

Contacts
Phone +1 251-621-1301

Authorized person
Name DR. MICHAEL ALBERT NEBRIG
Role OWNER/DENTIST
Phone 2516211301

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5509
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2023 261079177 2024-07-19 SOUTHERN DENTISTRY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2024-07-19
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2022 261079177 2023-09-11 SOUTHERN DENTISTRY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2021 261079177 2022-06-11 SOUTHERN DENTISTRY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2022-06-11
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2020 261079177 2021-06-17 SOUTHERN DENTISTRY, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2019 261079177 2020-06-12 SOUTHERN DENTISTRY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2020-06-12
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2018 261079177 2019-04-04 SOUTHERN DENTISTRY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2019-04-04
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2017 261079177 2018-04-03 SOUTHERN DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2018-04-03
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2016 261079177 2017-04-24 SOUTHERN DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2015 261079177 2016-07-11 SOUTHERN DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2016-07-09
Name of individual signing MICHAEL A. NEBRIG
SOUTHERN DENTISTRY, P.C. 401(K) PLAN 2014 261079177 2015-04-21 SOUTHERN DENTISTRY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516211301
Plan sponsor’s address 8477-A COUNTY ROAD 64, SUITE 3, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing MICHAEL A. NEBRIG

Incorporator

Name Role
NEBRIG, MICHAEL Incorporator

Agent

Name Role
NEBRIG, MICHALEL Agent

Related by officers

No related officers

Related by address

FAIRHOPE, AL

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751 GAYFER AVEFAIRHOPE, AL 36532

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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