Menu
Search icon

Nassetta Pediatric Dentistry, LLC

Details

Name: Nassetta Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Feb 2008 (17 years ago)
Entity Number: 000-416-197
Register Number: 000416197
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 1705 MAIN AVE SW STE ACULLMAN, AL 35055
Registered Office Street Address ZIP Code: 35055

Activities COMPREHENSIVE PREVENTATIVE/THERAPEUTIC ORAL HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992963193 2008-05-26 2008-05-26 1705 MAIN AVE SW, SUITE A, CULLMAN, AL, 350557206, US 1705 MAIN AVE SW, SUITE A, CULLMAN, AL, 350557206, US

Contacts
Phone +1 256-739-6000

Authorized person
Name DR. PATRICK CONRAD NASSETTA
Role PRESIDENT
Phone 2055865806

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5294
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2017 364625983 2018-06-21 NASSETTA PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2017 364625983 2018-03-12 NASSETTA PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2018-03-12
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2016 364625983 2017-05-03 NASSETTA PEDIATRIC DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2015 364625983 2016-06-26 NASSETTA PEDIATRIC DENTISTRY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2016-06-26
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2014 364625983 2015-06-03 NASSETTA PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2013 364625983 2014-05-23 NASSETTA PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2014-05-23
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2012 364625983 2013-06-03 NASSETTA PEDIATRIC DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2013-06-03
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2011 364625983 2012-05-29 NASSETTA PEDIATRIC DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2012-05-29
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2010 364625983 2011-03-17 NASSETTA PEDIATRIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2011-03-17
Name of individual signing PATRICK NASSETTA
NASSETTA PEDIATRIC DENTISTRY, LLC 401(K) P/S PLAN 2009 364625983 2010-06-24 NASSETTA PEDIATRIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 2567396000
Plan sponsor’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055

Plan administrator’s name and address
Administrator’s EIN 364625983
Plan administrator’s name NASSETTA PEDIATRIC DENTISTRY, LLC
Plan administrator’s address 1705 MAIN AVE SW ST A, CULLMAN, AL, 35055
Administrator’s telephone number 2567396000

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing PATRICK NASSETTA

Agent

Name Role Address
NASSETTA, PATRICK Agent 2649 VESCLUB CIRCLEVESTAVIA, AL 35216

Member

Name Role Address
NASSETTA, PATRICK Member 2649 VESCLUB CIRCLEVESTAVIA, AL 35216

Related by officers

NASSETTA, PATRICK

City Federal Investors, LLC LOOP CORPORATION

Related by address

CULLMAN, AL

The A. A. A. Pest Control, Inc. Alabama Feed Service, Inc. Alabama Poultry Supply Co., Inc. Benefield Brothers, Incorporated Bennett Tire Service, Inc. Brindlee Mountain Development Corporation Buchmann Tire & Retreading, Inc. Builders & Traders, Inc. Central Grocery Company of Cullman Incorporated W. C. Chapman Poultry and Produce, Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com