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Birmingham OMS Oral Facial & Implant Surgery, LLC

Details

Name: Birmingham OMS Oral Facial & Implant Surgery, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 11 Jul 2017 (7 years ago)
Entity Number: 000-396-571
Register Number: 000396571
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 4244 CAHABA HEIGHTS COURT, STE 300BIRMINGHAM, AL 35243
Registered Office Street Address ZIP Code: 35243
Registered Office Mailing Address: P.O. BOX 43962BIRMINGHAM, AL 35243
Registered Office Mailing Address ZIP Code: 35243

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275059941 2017-08-15 2022-07-21 4244 CAHABA HEIGHTS CT STE 300, VESTAVIA, AL, 352435711, US 4244 CAHABA HEIGHTS CT STE 300, VESTAVIA, AL, 352435711, US

Contacts

Phone +1 205-566-8650

Authorized person

Name DR. WARREN KELLEY BAILEY
Role OWNER DOCTOR
Phone 2055668650

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 4213
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC RETIREMENT PLAN 2023 815442166 2024-04-03 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC CASH BALANCE PLAN 2023 815442166 2024-09-09 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC CASH BALANCE PLAN 2022 815442166 2023-06-23 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC RETIREMENT PLAN 2022 815442166 2023-05-11 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC RETIREMENT PLAN 2021 815442166 2022-07-13 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243
BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC CASH BALANCE PLAN 2021 815442166 2022-07-19 BIRMINGHAM OMS ORAL FACIAL & IMPLANT SURGERY, LLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2059698880
Plan sponsor’s address SUITE 300, VESTAVIA HILLS, AL, 35243

Agent

Name Role
BAILEY, WARREN K Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State