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Smiles From Us, PLLC

Details

Name: Smiles From Us, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 18 Jun 2015 (9 years ago)
Entity Number: 000-336-509
Register Number: 000336509
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2600 BELL ROADMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881861631 2008-05-12 2015-10-01 2600 BELL RD, MONTGOMERY, AL, 361174375, US 2600 BELL RD, MONTGOMERY, AL, 361174375, US

Contacts
Phone +1 334-358-6411
Fax 3343510033

Authorized person
Name JOHN D. STANLEY
Role DENTIST/VICE PRESIDENT
Phone 3343586411

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 2865
State AL
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 4869
State AL
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5053
State AL
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5221
State AL
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5199
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-23254
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-25517
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-28153
State AL
Issuer MEDICAID
Number 009965115
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-19534
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 510-60720
State AL
Issuer UNITED CONCORDIA
Number 770948
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-23250
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-25362
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-23249
State AL
Issuer BLUE CROSS BLUE SHIELD OF ALABAMA
Number 515-28152
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2023 474211536 2024-10-02 SMILES FROM US, PLLC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing J. DAVID STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing J. DAVID STANLEY
Valid signature Filed with authorized/valid electronic signature
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2022 474211536 2023-10-10 SMILES FROM US, PLLC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2021 474211536 2022-10-11 SMILES FROM US, PLLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2020 474211536 2021-06-08 SMILES FROM US, PLLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2021-06-05
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2021-06-05
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2019 474211536 2020-07-22 SMILES FROM US, PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2020-07-21
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2018 474211536 2019-10-10 SMILES FROM US, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2017 474211536 2018-07-27 SMILES FROM US, PLLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2016 474211536 2017-07-06 SMILES FROM US, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2017-07-06
Name of individual signing J. DAVID STANLEY
SMILES FROM US, PLLC 401(K) PROFIT SHARING PLAN 2015 474211536 2016-09-26 SMILES FROM US, PLLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing J. DAVID STANLEY

Agent

Name Role
PAYNE, JOHN IV Agent

Related by officers

No related officers

Related by address

2600 BELL ROADMONTGOMERY, AL 36117

John H. Payne, IV, DMD, PC J. David Stanley, D.M.D., P.C. R. Davis Denney, D.M.D., P.C. Robert H. Owen, D.M.D., M.S., P.C.

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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