| Name: | Smart Dental Holdings LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 May 2017 (7 years ago) |
| Entity Number: | 000-390-615 |
| Register Number: | 000390615 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Principal Address: | 5751 POCAHONTAS RD STE ABESSEMER, AL 35022 |
| Principal Address ZIP Code: | 35022 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023615762 | 2020-10-06 | 2020-10-06 | 5751 POCAHONTAS RD STE A, BESSEMER, AL, 350225478, US | 4616 MONTEVALLO RD STE 100, IRONDALE, AL, 352103104, US | |||||||||||||||||||
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| Phone | +1 205-477-4242 |
| Fax | 2054774243 |
| Phone | +1 205-951-2191 |
| Fax | 2059512191 |
Authorized person
| Name | CHRISTIE KNIGHT |
| Role | REVENUE CYCLE DIRECTOR |
| Phone | 2054774242 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LUMA DENTISTRY 401(K) PLAN | 2021 | 821932282 | 2022-07-25 | SMART DENTAL HOLDINGS, LLC | 82 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-07-25 |
| Name of individual signing | TED POCZATEK |
| Role | Employer/plan sponsor |
| Date | 2022-07-25 |
| Name of individual signing | TED POCZATEK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2053928358 |
| Plan sponsor’s DBA name | LUMA DENTISTRY |
| Plan sponsor’s address | 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-18 |
| Name of individual signing | TED POCZATEK |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| MAYHEW, BRADLEY C | Organizer | 1819 FIFTH AVE N STE 1000BIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
