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Gibson Family Dentistry, LLC

Details

Name: Gibson Family Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Jul 2017 (7 years ago)
Entity Number: 000-395-840
Register Number: 000395840
County: Etowah
Place of Formation: Etowah County
Registered Office Street Address: 1031 FORREST AVENUEGADSDEN, AL 35901
Registered Office Street Address ZIP Code: 35901

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457872939 2017-07-05 2022-07-21 313 E 10TH ST, ANNISTON, AL, 362075707, US 313 E 10TH ST, ANNISTON, AL, 362075707, US

Contacts

Phone +1 256-237-0603

Authorized person

Name DR. MORGAN DUFFY GIBSON
Role DENTIST/OWNER
Phone 2562370603

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6325
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2022 822059159 2023-09-08 GIBSON FAMILY DENTISTRY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-09-08
Name of individual signing MORGAN GIBSON
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2021 822059159 2022-10-17 GIBSON FAMILY DENTISTRY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing MORGAN GIBSON
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2020 822059159 2021-05-27 GIBSON FAMILY DENTISTRY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2021-05-27
Name of individual signing MORGAN GIBSON
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2019 822059159 2020-10-06 GIBSON FAMILY DENTISTRY, LLC 9
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing MORGAN GIBSON, DMD
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2019 822059159 2021-04-21 GIBSON FAMILY DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2021-04-21
Name of individual signing MORGAN GIBSON, DMD
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2018 822059159 2020-12-01 GIBSON FAMILY DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2020-12-01
Name of individual signing MORGAN GIBSON, DMD
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2018 822059159 2019-09-30 GIBSON FAMILY DENTISTRY, LLC 9
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing MORGAN GIBSON, DMD
GIBSON FAMILY DENTISTRY, LLC 401(K) PLAN 2017 822059159 2018-10-15 GIBSON FAMILY DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562370603
Plan sponsor’s address 313 EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing MORGAN GIBSON, DMD

Agent

Name Role
BONE, SAM D Agent

Organizer

Name Role Address
GIBSON, MORGAN Organizer 114 HIDDEN OAKS DRIVEOXFORD, AL 36203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State