| Name: | Cullman Endodontics, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 09 May 2008 (17 years ago) |
| Entity Number: | 000-257-298 |
| Register Number: | 000257298 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1965 ALA HWY 157 STE ACULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | 1,000 NPV |
| Paid Share Capital: | 1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497901219 | 2008-08-12 | 2008-08-12 | 1965 AL HIGHWAY 157 STE A, CULLMAN, AL, 350580672, US | 1965 AL HIGHWAY 157 STE A, CULLMAN, AL, 350580672, US | |||||||||||||||||||||||||
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| Phone | +1 256-737-9838 |
| Fax | 2567379839 |
Authorized person
| Name | DR. JOSHUA MICHAEL ROBINSON |
| Role | OWNER/PRESIDENT |
| Phone | 2567379838 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| License Number | 5432 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1053574434 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CULLMAN ENDODONTICS SAFE HARBOR 401(K) PLAN | 2023 | 262674465 | 2024-08-27 | CULLMAN ENDODONTICS, P.C. | 7 | |||||||||||||||||||||
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| CULLMAN ENDODONTICS SAFE HARBOR 401(K) PLAN | 2022 | 262674465 | 2023-07-24 | CULLMAN ENDODONTICS, P.C. | 6 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-07-24 |
| Name of individual signing | JOSHUA ROBINSON |
| Name | Role | Address |
|---|---|---|
| ROBINSON, JOSHUA M | Agent | 705 FIFTH AVENUE SECULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| ROBINSON, JOSHUA M | Incorporator | 705 FIFTH AVENUE SECULLMAN, AL 35055 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
