| Name: | Signature Smiles of Cullman, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Jan 2015 (10 years ago) |
| Entity Number: | 000-326-285 |
| Register Number: | 000326285 |
| County: | Cullman |
| Place of Formation: | Etowah County |
| Principal Address: | 1965 HWY 157 SUITE ACULLMAN, AL 35058 |
| Principal Address ZIP Code: | 35058 |
| Authorized Capital: | 1000 @ $.10 PV |
Activities
PRACTICE THE PROFESSION OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093105272 | 2015-01-27 | 2015-01-27 | 1965 AL HIGHWAY 157, SUITE A, CULLMAN, AL, 350580672, US | 1965 AL HIGHWAY 157, SUITE A, CULLMAN, AL, 350580672, US | |||||||||||||||||||||||||
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| Phone | +1 256-338-8082 |
Authorized person
| Name | DR. LINDSEY MARECLE MARSHALL |
| Role | GENERAL DENTIST / CO-OWNER |
| Phone | 2563388082 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | D.5828 C1 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | D.5839 C1 |
| State | AL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGNATURE SMILES 401(K) PLAN | 2023 | 472740720 | 2024-09-25 | SIGNATURE SMILES OF CULLMAN, P.C. | 11 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-25 |
| Name of individual signing | LINDSEY HALL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2565319983 |
| Plan sponsor’s address | 1754 WARNKE CIRCLE NE, CULLMAN, AL, 35055 |
Plan administrator’s name and address
| Administrator’s EIN | 630926271 |
| Plan administrator’s name | BENETECH ADMINISTRATORS, INC. |
| Plan administrator’s address | P.O. BOX 530967, BIRMINGHAM, AL, 35253 |
| Administrator’s telephone number | 2058792824 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-21 |
| Name of individual signing | ALAN SPAIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2565319983 |
| Plan sponsor’s address | 1754 WARNKE CIRCLE NE, CULLMAN, AL, 35055 |
Plan administrator’s name and address
| Administrator’s EIN | 630926271 |
| Plan administrator’s name | BENETECH ADMINISTRATORS, INC. |
| Plan administrator’s address | P.O. BOX 530967, BIRMINGHAM, AL, 35253 |
| Administrator’s telephone number | 2058792824 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-19 |
| Name of individual signing | ALAN SPAIN |
| Name | Role | Address |
|---|---|---|
| MARSHALL, LINDSEY | Director | 1417 SLATE COURTCLEVELAND HEIGHTS, OH 44118 |
| STIDHAM, KATHERINE W | Director | 2137 COUNTY RD 1605CULLMAN, AL 35058 |
| Name | Role | Address |
|---|---|---|
| STIDHAM, KATHERINE W | Incorporator | 2137 COUNTY RD 1605CULLMAN, AL 35058 |
| MARSHALL, LINDSEY | Incorporator | 1417 SLATE COURTCLEVELAND HEIGHTS, OH 44118 |
| Name | Role | Address |
|---|---|---|
| STIDHAM, KATHERINE W | Agent | 2137 COUNTY RD 1605CULLMAN, AL 35058 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
