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Picture Perfect Smiles LLC

Details

Name: Picture Perfect Smiles LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Jan 2017 (8 years ago) (Companies founded in January 2017)
Entity Number: 000-381-192
Register Number: 000381192
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Jefferson County
Registered Office Street Address: 4282 LOMAC STREETMONTGOMERY, AL 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154868057 2017-01-30 2017-01-30 4282 LOMAC ST, MONTGOMERY, AL, 361063604, US 4282 LOMAC ST, MONTGOMERY, AL, 361063604, US

Contacts

Phone +1 334-354-7796

Authorized person

Name DR. NZINGHA STOVALL
Role DENTIST
Phone 3343547796

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5478
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PICTURE PERFECT SMILES 401K PLAN 2023 611813668 2024-08-10 PICTURE PERFECT SMILES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-10-01
Business code 621210
Sponsor’s telephone number 3342712001
Plan sponsor’s address 2030 BERRY CHASE PLACE, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2024-08-10
Name of individual signing NICK RICE
PICTURE PERFECT SMILES 401K PLAN 2022 611813668 2023-07-15 PICTURE PERFECT SMILES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-10-01
Business code 621210
Sponsor’s telephone number 3342712001
Plan sponsor’s address 2030 BERRY CHASE PL, MONTGOMERY, AL, 361176896

Signature of

Role Plan administrator
Date 2023-07-15
Name of individual signing SHIRLEY HORNER
PICTURE PERFECT SMILES 401K PLAN 2021 611813668 2022-07-13 PICTURE PERFECT SMILES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-09-01
Business code 621210
Sponsor’s telephone number 3342712001
Plan sponsor’s address 4282 LOMAC ST, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing SHIRLEY HORNER

Agent

Name Role
STOVALL, NZINGHA Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State