Josh Drake DMD, LLC

Details

Name:	Josh Drake DMD, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	21 Aug 2008 (16 years ago) (Companies founded in August 2008)
Entity Number:	000-424-215
Register Number:	000424215
ZIP code:	35601 (Companies in Morgan, 35601)
County:	Morgan
Place of Formation:	Morgan County
Principal Address:	DECATUR, AL
Registered Office Street Address:	1306 14TH AVE SEDECATUR, AL 35601

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1427434802

2015-08-07

1306 14TH AVE SE, DECATUR, AL, 356014346, US

Contacts

Phone

+1 256-350-5810

Authorized person

Name	DR. JOSH DRAKE
Role	OWNER
Phone	2563505810

Taxonomy

Taxonomy Code	122300000X - Dentist
License Number	5470
State	AL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JOSH DRAKE, DMD LLC 401(K) PROFIT SHARING PLAN

2010

300501663

2011-10-13

JOSH DRAKE, DMD LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2563503434
Plan sponsor’s address	2007 BEECHWOOD DR. SW, HARTSELLE, AL, 35640

Plan administrator’s name and address

Administrator’s EIN	300501663
Plan administrator’s name	JOSH DRAKE, DMD LLC
Plan administrator’s address	2007 BEECHWOOD DR. SW, HARTSELLE, AL, 35640
Administrator’s telephone number	2563503434

Signature of

Role	Plan administrator
Date	2011-10-13
Name of individual signing	JOSH DRAKE

Agent

Name	Role
DRAKE, JOSH	Agent

Member

Name	Role
DRAKE, JOSH	Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State