KBL Orthodontics, LLC

Details

Name:	KBL Orthodontics, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	16 Jul 2013 (11 years ago)
Entity Number:	000-282-628
Register Number:	000282628
Historical Names:	Miller Orthodontics LLC Lewis Orthodontics, LLC
County:	Houston
Place of Formation:	Houston County
Registered Office Street Address:	2431 W MAIN STREET SUITE 303DOTHAN, AL 36301
Registered Office Street Address ZIP Code:	36301

Activities ORTHODONTIC MEDICINE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1881016491

2014-01-16

2014-09-09

2431 W MAIN ST, SUITE 303, DOTHAN, AL, 363011217, US

2431 W MAIN ST, SUITE 303, DOTHAN, AL, 363011217, US

Contacts

Phone

+1 334-446-0428

Authorized person

Name	DR. KATHERINE B MILLER
Role	OWNER
Phone	3344460428

Taxonomy

Taxonomy Code	1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number	5597
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MILLER ORTHODONTICS, LLC 401K PLAN

2023

463201940

2024-10-10

KBL ORTHODONTICS, LLC

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2022

463201940

2023-10-13

KBL ORTHODONTICS, LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2021

463201940

2022-10-10

MILLER ORTHODONTICS, LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2020

463201940

2021-10-10

MILLER ORTHODONTICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2019

463201940

2020-10-12

MILLER ORTHODONTICS, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2018

463201940

2019-10-06

MILLER ORTHODONTICS, LLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2017

463201940

2018-09-27

MILLER ORTHODONTICS, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2016

463201940

2017-07-27

MILLER ORTHODONTICS, LLC

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

MILLER ORTHODONTICS, LLC 401K PLAN

2015

463201940

2016-10-12

MILLER ORTHODONTICS, LLC

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3344460428
Plan sponsor’s address	2431 WEST MAIN STREET, STE. 303, DOTHAN, AL, 36301

Organizer

Name	Role	Address
MILLER, KATIE B	Organizer	1701 TACOMA STREETDOTHAN, AL 36303

Agent

Name	Role	Address
MILLER, KATIE B	Agent	1701 TACOMA STREETDOTHAN, AL 36303

Events

Event Date	Event Type	Old Value	New Value
2022-12-14	Name Change	Lewis Orthodontics, LLC	KBL Orthodontics, LLC
2022-12-12	Name Change	Miller Orthodontics LLC	Lewis Orthodontics, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State