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Southern Dental Birmingham LLC

Details

Name: Southern Dental Birmingham LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Oct 2016 (8 years ago)
Entity Number: 000-373-895
Register Number: 000373895
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 4960 VALLEYDALE ROADBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417196551 2009-02-12 2016-12-19 4960 VALLEYDALE RD, STE 100, BIRMINGHAM, AL, 352424613, US 4960 VALLEYDALE RD, STE 100, BIRMINGHAM, AL, 352424613, US

Contacts
Phone +1 205-991-2433
Fax 2053800623

Authorized person
Name DR. JAMES DRAYTON SMITH III
Role OWNER
Phone 2059912433

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5024
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2023 814033796 2024-07-10 SOUTHERN DENTAL BIRMINGHAM, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DRAYTON SMITH
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing DRAYTON SMITH
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2022 814033796 2023-10-16 SOUTHERN DENTAL BIRMINGHAM, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JAMES SMITH
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing JAMES SMITH
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2021 814033796 2022-10-17 SOUTHERN DENTAL BIRMINGHAM, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing JAMES SMITH
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing JAMES SMITH
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2020 814033796 2021-07-29 SOUTHERN DENTAL BIRMINGHAM, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing DALE HARRY
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing DALE HARRY
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2019 814033796 2020-09-15 SOUTHERN DENTAL BIRMINGHAM, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing KRISTI LOVETTE
Role Employer/plan sponsor
Date 2020-09-15
Name of individual signing KRISTI LOVETTE
SOUTHERN DENTAL BIRMINGHAM, LLC 401(K) PROFIT SHARING PLAN 2018 814033796 2019-04-09 SOUTHERN DENTAL BIRMINGHAM, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2059912433
Plan sponsor’s address 4960 VALLEYDALE ROAD, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing KRISTI LOVETTE
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing KRISTI LOVETTE

Organizer

Name Role Address
SHEEDY, BRETT S Organizer 2120 16TH AVENUE SOUTH SUITE 100BIRMINGHAM, AL 35205

Agent

Name Role
SMITH, J D Agent

Related by officers

SHEEDY, BRETT S

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SMITH, J D

Save Our Ships Campaign, Inc. Bay Area Paintball Club Springhill Properties, Inc. Magnolia Trace, Inc. Quality Technology, Inc. March Marine Incorporated Overhear, Inc. Nursing Care Management, Inc. First Destin, Inc. Second Destin, Inc.

Related by address

No related companies by address

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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