| Name: | DIAMOND SMILES DENTISTRY, INC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 17 Feb 2010 (15 years ago) |
| Entity Number: | 000-263-379 |
| Register Number: | 000263379 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 5336 STADIUM TRACE PKWY STE 102HOOVER, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| Authorized Capital: | $1,000 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619403607 | 2017-05-11 | 2017-05-11 | 5336 STADIUM TRACE PKWY, STE 102, HOOVER, AL, 352444580, US | 5336 STADIUM TRACE PKWY, STE 102, HOOVER, AL, 352444580, US | |||||||||||||||||||
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| Phone | +1 205-988-9700 |
| Fax | 2059884191 |
Authorized person
| Name | EDGAR LUNA |
| Role | PRESIDENT / OWNER |
| Phone | 2059889700 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 17019486 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIAMOND SMILES DENTISTRY RETIREMENT PLAN & TRUST | 2016 | 271941787 | 2017-06-21 | DIAMOND SMILES DENTISTRY, INC. | 7 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-06-21 |
| Name of individual signing | EDGAR A. LUNA, D.M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2059889700 |
| Plan sponsor’s address | 5336 STADIUM TRACE PARKWAY, SUITE 102, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2016-05-04 |
| Name of individual signing | EDGAR A. LUNA, D.M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2059889700 |
| Plan sponsor’s address | 5336 STADIUM TRACE PARKWAY, SUITE 102, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-10 |
| Name of individual signing | EDGAR A. LUNA, D.M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2059889700 |
| Plan sponsor’s address | 5336 STADIUM TRACE PARKWAY, SUITE 102, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-12 |
| Name of individual signing | EDGAR A. LUNA, D.M.D. |
| Name | Role |
|---|---|
| LUNA, EDGAR A | Agent |
| Name | Role |
|---|---|
| LUNA, EDGAR A | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
