J. Tyler Cummins, DMD, LLC

Details

Name:	J. Tyler Cummins, DMD, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	27 Sep 2016 (8 years ago) (Companies founded in September 2016)
Entity Number:	000-372-812
Register Number:	000372812
Historical Names:	Gardendale Smiles LLC
ZIP code:	35226 (Companies in Jefferson, 35226)
County:	Jefferson
Place of Formation:	Jefferson County
Registered Office Street Address:	1821 HUMMINGBIRD LANEHOOVER, AL 35226

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1528576519

2018-01-12

2018-01-12

1206 HIGHWAY 78 E, JASPER, AL, 355013939, US

1206 HIGHWAY 78 E, JASPER, AL, 355013939, US

Contacts

Phone	+1 205-221-9190
Fax	2053844262

Authorized person

Name	DR. JAMIE TYLER CUMMINS
Role	DENTIST/OWNER
Phone	2052219190

Taxonomy

Taxonomy Code	1223G0001X - General Practice Dentistry
License Number	6280
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2023

823342309

2024-07-29

J. TYLER CUMMINS DMD, LLC

16

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

Signature of

Role	Plan administrator
Date	2024-07-29
Name of individual signing	J. TYLER CUMMINS

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2022

823342309

2023-10-09

J. TYLER CUMMINS DMD, LLC

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

Signature of

Role	Plan administrator
Date	2023-10-09
Name of individual signing	J. TYLER CUMMINS

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2021

823342309

2022-10-17

J. TYLER CUMMINS DMD, LLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2020

823342309

2021-10-15

J. TYLER CUMMINS DMD, LLC

10

Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2020

823342309

2022-09-20

J. TYLER CUMMINS DMD, LLC

10

Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2020

823342309

2022-09-20

J. TYLER CUMMINS DMD, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

J. TYLER CUMMINS DMD, LLC 401(K) PLAN

2019

823342309

2020-07-16

J. TYLER CUMMINS DMD, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2052219190
Plan sponsor’s address	1206 HIGHWAY 78 EAST, JASPER, AL, 35501

Agent

Name	Role
JONES, MELANIE M	Agent

Member

Name	Role
CUMMINS, J T	Member

Events

Event Date	Event Type	Old Value	New Value
2017-11-08	Name Change	Gardendale Smiles LLC	J. Tyler Cummins, DMD, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State