| Name: | Ingram Dental Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 May 2008 (16 years ago) |
| Entity Number: | 000-257-450 |
| Register Number: | 000257450 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | PIEDMONT, AL |
| Registered Office Street Address: | 207 ROME AVEPIEDMONT, AL 36272 |
| Registered Office Street Address ZIP Code: | 36272 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891954970 | 2008-06-04 | 2008-06-04 | 207 ROME AVE, PIEDMONT, AL, 362721919, US | 207 ROME AVE, PIEDMONT, AL, 362721919, US | |||||||||||||||||||
|
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| Phone | +1 256-447-6071 |
| Fax | 2564476077 |
Authorized person
| Name | DR. BENJAMIN B. INGRAM |
| Role | PRESIDENT |
| Phone | 2564476071 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 3942 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INGRAM DENTAL CLINIC CASH BALANCE PENSION PLAN | 2015 | 262731729 | 2016-10-13 | INGRAM DENTAL CLINIC | 9 | |||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2016-10-12 |
| Name of individual signing | BENJAMIN INGRAM |
| Name | Role |
|---|---|
| INGRAM, BENJAMIN | Agent |
| Name | Role |
|---|---|
| INGRAM, BENJAMIN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
