| Name: | Gibson Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Apr 2016 (9 years ago) |
| Entity Number: | 000-361-671 |
| Register Number: | 000361671 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 264 KELLY SPRING ROADHARVEST, AL 35749 |
| Registered Office Street Address ZIP Code: | 35749 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073963625 | 2016-06-14 | 2016-06-14 | 10871 COUNTY LINE RD, SUITE A, MADISON, AL, 357583667, US | 10871 COUNTY LINE RD, SUITE A, MADISON, AL, 357583667, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 256-724-3530 |
| Fax | 2566158740 |
Authorized person
| Name | DR. MATT GIBSON |
| Role | DENTIST |
| Phone | 2567243530 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 6093 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GIBSON DENTAL RETIREMENT PLAN & TRUST | 2022 | 812488627 | 2023-09-26 | GIBSON DENTAL, LLC | 13 | |||||||||||||
|
||||||||||||||||||
| GIBSON DENTAL RETIREMENT PLAN & TRUST | 2021 | 812488627 | 2022-09-09 | GIBSON DENTAL, LLC | 11 | |||||||||||||
|
||||||||||||||||||
| Name | Role |
|---|---|
| GIBSON, MATTHEW | Agent |
| Name | Role | Address |
|---|---|---|
| JUDGE, ALAN P | Organizer | 3315 MEMORIAL PKWY SW BLDG 600 STEB1HUNTSVILLE, AL 35801 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
