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Lee Dental Associates, LLC

Details

Name: Lee Dental Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Jan 2017 (8 years ago) (Companies founded in January 2017)
Entity Number: 000-382-115
Register Number: 000382115
ZIP code: 36830 (Companies in Lee, 36830)
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 520 HAMILTON HILLS DRAUBURN, AL 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992283816 2018-08-02 2018-08-02 827 STAGE RD, AUBURN, AL, 368305136, US 827 STAGE RD, AUBURN, AL, 368305136, US

Contacts

Phone +1 334-821-3887

Authorized person

Name DR. TRAVIS THOMPSON
Role PARTNER/OWNER
Phone 3348213887

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEE DENTAL ASSOCIATES, LLC 401(K) PLAN 2023 820711885 2024-07-29 LEE DENTAL ASSOCIATES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 111100
Sponsor’s telephone number 3348213887
Plan sponsor’s address 827 STAGE RD, AUBURN, AL, 368305136

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing KELLY SHUMAN
LEE DENTAL ASSOCIATES, LLC 401(K) PLAN 2022 820711885 2023-08-16 LEE DENTAL ASSOCIATES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 3348213887
Plan sponsor’s address 827 STAGE RD, AUBURN, AL, 368305136

Signature of

Role Plan administrator
Date 2023-08-16
Name of individual signing DR. TRAVIS THOMPSON
LEE DENTAL ASSOCIATES, LLC 401(K) PLAN 2021 820711885 2022-07-14 LEE DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 3348213887
Plan sponsor’s address 827 STAGE RD, AUBURN, AL, 368305136

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing DR. TRAVIS THOMPSON
LEE DENTAL ASSOCIATES, LLC 401(K) 2020 820711885 2021-06-23 LEE DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 3348213887
Plan sponsor’s address 827 STAGE RD, AUBURN, AL, 368305136

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing DR. TRAVIS THOMPSON
LEE DENTAL ASSOCIATES, LLC 401(K) PLAN 2019 820711885 2020-07-17 LEE DENTAL ASSOCIATES, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 111100
Sponsor’s telephone number 3348213887
Plan sponsor’s address 827 STAGE RD, AUBURN, AL, 368305136

Signature of

Role Plan administrator
Date 2020-07-17
Name of individual signing DR. TRAVIS THOMPSON

Agent

Name Role
LEE, ELBERT M Agent

Organizer

Name Role Address
DENISON, JOSEPH C SR Organizer 1621 DEER TRACK ROADOPELIKA, AL 36801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State