Strickland Orthodontics, PLLC

Contacts

Phone	+1 251-554-5517
Phone	+1 251-928-9292

Authorized person

Name	ASHLEY BENNETT STRICKLAND
Role	OFFICE MANAGER
Phone	2515545517

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
License Number	5967C1
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2515545517
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2024-04-25
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2515545517
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2023-08-13
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2519289292
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2022-06-11
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2519289292
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2021-10-05
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2519289292
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2020-10-14
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2519289292
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2019-10-04
Name of individual signing	ASHLEY STRICKLAND

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2519289292
Plan sponsor’s address	7489 PARKER ROAD, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2018-07-18
Name of individual signing	ASHLEY STRICKLAND