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North Dean Dental, PC

Details

Name: North Dean Dental, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Dec 2015 (9 years ago)
Date of dissolution: 18 Sep 2024
Entity Number: 000-350-287
Register Number: 000350287
County: Elmore
Place of Formation: Elmore County
Principal Address: 2343 DARK CORNERS ROADTALLASSEE, AL 36078
Principal Address ZIP Code: 36078
Authorized Capital: 5O0 @ $1.00 PV

Activities PROFESSIONAL PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952857229 2016-08-28 2016-08-28 867 NORTH DEAN ROAD, AUBURN, AL, 36830, US 867 NORTH DEAN ROAD, AUBURN, AL, 36830, US

Contacts

Phone +1 334-887-6111

Authorized person

Name DR. KIM PETERS
Role OWNER
Phone 3348876111

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH DEAN DENTAL, PC 401(K) PLAN 2021 810710536 2022-04-12 NORTH DEAN DENTAL, PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3348876111
Plan sponsor’s address 867 N DEAN RD, AUBURN, AL, 36830
NORTH DEAN DENTAL, PC 401(K) PLAN 2021 810710536 2022-04-12 NORTH DEAN DENTAL, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3348876111
Plan sponsor’s address 867 N DEAN RD, AUBURN, AL, 36830
NORTH DEAN DENTAL, PC 401(K) PLAN 2020 810710536 2021-03-25 NORTH DEAN DENTAL, PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3348876111
Plan sponsor’s address 867 N DEAN RD, AUBURN, AL, 36830

Signature of

Role Plan administrator
Date 2021-03-25
Name of individual signing JULIE S POSKE
NORTH DEAN DENTAL, PC 401(K) PLAN 2019 810710536 2020-05-11 NORTH DEAN DENTAL, PC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3348876111
Plan sponsor’s address 867 N DEAN RD, AUBURN, AL, 36830

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing JULIE S POSKE

Agent

Name Role Address
PETERS, KIM L Agent 2343 DARK CORNERS ROADTALLASSEE, AL 36078

Incorporator

Name Role Address
PETERS, KIM L Incorporator 2343 DARK CORNERS ROADTALLASSEE, AL 36078

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State