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Ferrell Family Dental, P.C.

Details

Name: Ferrell Family Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Jun 2014 (10 years ago)
Entity Number: 000-311-992
Register Number: 000311992
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 1413 EAST FAIRWAY DRGULF SHORES, AL 36542
Principal Address ZIP Code: 36542
Principal Mailing Address: 1545 GULF SHORES PKWY PMB 302GULF SHORES, AL 36542
Principal Mailing Address ZIP Code: 36542
Authorized Capital: 1000 @ $1.00 PV

Activities PROVIDE DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073917399 2014-10-15 2014-10-22 1545 GULF SHORES PKWY, PMB 302, GULF SHORES, AL, 365423435, US 8154 HWY 59, SUITE 217, FOLEY, AL, 36535, US

Contacts
Phone +1 251-970-1600
Fax 8663165030

Authorized person
Name DR. ROBERT SEAN FERRELL
Role PRESIDENT
Phone 2519701600

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 5861
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2023 471134563 2024-10-08 FERRELL FAMILY DENTAL, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing ALISON D. FERRELL
Valid signature Filed with authorized/valid electronic signature
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2022 471134563 2023-09-27 FERRELL FAMILY DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2021 471134563 2022-07-15 FERRELL FAMILY DENTAL, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2020 471134563 2021-07-14 FERRELL FAMILY DENTAL, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2019 471134563 2020-05-27 FERRELL FAMILY DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2018 471134563 2019-07-11 FERRELL FAMILY DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2017 471134563 2018-09-26 FERRELL FAMILY DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing ALISON D. FERRELL
FERRELL FAMILY DENTAL, P. C. 401(K) PLAN 2016 471134563 2017-10-16 FERRELL FAMILY DENTAL, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2519701600
Plan sponsor’s address 8154 HIGHWAY 59, SUITE 217, FOLEY, AL, 36535

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing ALISON D. FERRELL

Agent

Name Role
FERRELL, ROBERT S Agent

Director

Name Role Address
FERRELL, ROBERT SEAN Director 1413 EAST FAIRWAY DRGULF SHORES, AL 36542

Incorporator

Name Role Address
HARRELL, C A JR Incorporator 234 OFFICE PARK DRGULF SHORES, AL 36542

Related by officers

HARRELL, C A JR

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Related by address

No related companies by address

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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