| Name: | Liberty Park Children's Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Jul 2017 (7 years ago) |
| Entity Number: | 000-396-185 |
| Register Number: | 000396185 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1950 STONEGATE DRIVE SUITE 100VESTAVIA HILLS, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316453210 | 2017-12-14 | 2017-12-14 | 3304 MARLBORO DR, MOUNTAIN BRK, AL, 352232804, US | 1950 STONEGATE DR STE 100, VESTAVIA HLS, AL, 352422525, US | |||||||||||||||||
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| Phone | +1 205-403-5423 |
Authorized person
| Name | DR. QUYEN VU YING |
| Role | DENTIST |
| Phone | 2054035423 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 6278C |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY PARK CHILDREN'S DENTISTRY 401(K) PROFIT SHARING PLAN | 2023 | 822109882 | 2024-02-07 | LIBERTY PARK CHILDREN'S DENTISTRY | 5 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-07 |
| Name of individual signing | QUYEN YING |
| Role | Employer/plan sponsor |
| Date | 2024-02-07 |
| Name of individual signing | QUYEN YING |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7045027798 |
| Plan sponsor’s address | 1950 STONEGATE DRIVE, #100, VESTAVIA HILLS, AL, 35242 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-22 |
| Name of individual signing | QUYEN YING |
| Role | Employer/plan sponsor |
| Date | 2023-02-22 |
| Name of individual signing | QUYEN YING |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 7045027798 |
| Plan sponsor’s address | 1950 STONEGATE DRIVE, #100, VESTAVIA HILLS, AL, 35242 |
Signature of
| Role | Plan administrator |
| Date | 2022-02-21 |
| Name of individual signing | QUYEN YING |
| Role | Employer/plan sponsor |
| Date | 2022-02-21 |
| Name of individual signing | QUYEN YING |
| Name | Role |
|---|---|
| YING, QUYEN | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
