| Name: | HighFive OMFS Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Oct 2012 (12 years ago) (Companies founded in October 2012) |
| Entity Number: | 000-269-212 |
| Register Number: | 000269212 |
| Historical Names: |
Alabama Oral and Facial Surgery, LLC
|
| ZIP code: | 35244 (Companies in Jefferson, 35244) |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 2290 VALLEYDALE ROAD, SUITE 100BIRMINGHAM, AL 35244 |
Activities
ORAL AND FACIAL SURGERY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831433556 | 2012-11-19 | 2012-12-04 | 2290 VALLEYDALE ROAD, SUITE 100, BIRMINGHAM, AL, 352442011, US | 2290 VALLEYDALE ROAD, SUITE 100, BIRMINGHAM, AL, 352442011, US | |||||||||||||||||||
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| Phone | +1 205-682-1099 |
| Fax | 2054037383 |
Authorized person
| Name | DR. HENRY E MCKAY III |
| Role | MEMBER |
| Phone | 2056821099 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | 4649 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALABAMA ORAL AND FACIAL SURGERY, LLC CASH BALANCE PLAN | 2019 | 461310420 | 2020-10-06 | ALABAMA ORAL AND FACIAL SURGERY LLC | 14 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-10-06 |
| Name of individual signing | CHRISTOPHER ROTHMAN |
| Role | Employer/plan sponsor |
| Date | 2020-10-06 |
| Name of individual signing | CHRISTOPHER ROTHMAN |
| Name | Role | Address |
|---|---|---|
| ROTHMAN, CHRISTOPHER | Agent | 2290 VALLEYDALE ROAD, SUITE 100BIRMINGHAM, AL 35244 |
| Name | Role | Address |
|---|---|---|
| ROTHMAN, CHRISTOPHER | Organizer | 2290 VALLEYDALE ROAD, SUITE 100BIRMINGHAM, AL 35244 |
| MCKAY, HENRY E III | Organizer | 2290 VALLEYDALE ROAD, SUITE 100BIRMINGHAM, AL 35244 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-12-10 | Name Change | Alabama Oral and Facial Surgery, LLC | HighFive OMFS Alabama, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
