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Wilson Dental, Inc.

Details

Name: Wilson Dental, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Jul 2016 (8 years ago)
Entity Number: 000-366-067
Register Number: 000366067
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 112 EAST BAILEY SPRINGS DRIVEFLORENCE, AL 35634
Registered Office Street Address ZIP Code: 35634
Authorized Capital: 1,000 @ $1/PV
Paid Share Capital: $1,000

Activities DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558814384 2016-07-28 2016-07-28 1602 MOCKINGBIRD CT, FLORENCE, AL, 356301552, US 1602 MOCKINGBIRD CT, FLORENCE, AL, 356301552, US

Contacts

Phone +1 256-764-9533
Fax 2567181013

Authorized person

Name DR. PATRICK ROGER WILSON
Role PRESIDENT
Phone 2052751450

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number D 6089 C1
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILSON DENTAL RETIREMENT PLAN & TRUST 2023 813124946 2024-06-19 WILSON DENTAL, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630
WILSON DENTAL RETIREMENT PLAN & TRUST 2022 813124946 2023-07-18 WILSON DENTAL, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630
WILSON DENTAL RETIREMENT PLAN & TRUST 2021 813124946 2022-08-24 WILSON DENTAL, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630
WILSON DENTAL RETIREMENT PLAN & TRUST 2020 813124946 2021-07-01 WILSON DENTAL, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630
WILSON DENTAL RETIREMENT PLAN & TRUST 2019 813124946 2020-07-06 WILSON DENTAL, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630
WILSON DENTAL RETIREMENT PLAN & TRUST 2018 813124946 2019-07-25 WILSON DENTAL, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2567649533
Plan sponsor’s address 1602 MOCKINGBIRD COURT, FLORENCE, AL, 35630

Agent

Name Role Address
WILSON, PATRICK R Agent 112 EAST BAILEY SPRINGS DRIVEFLORENCE, AL 35634

Director

Name Role Address
WILSON, PATRICK R Director 112 EAST BAILEY SPRINGS DRIVEFLORENCE, AL 35634

Incorporator

Name Role Address
WILSON, PATRICK R Incorporator 112 EAST BAILEY SPRINGS DRIVEFLORENCE, AL 35634

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State