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Wiregrass Orthodontic Specialists LLC

Details

Name: Wiregrass Orthodontic Specialists LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Sep 2004 (20 years ago) (Companies founded in September 2004)
Entity Number: 000-455-211
Register Number: 000455211
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 100 O'BRANNAN PARKDOTHAN, AL 36303

Activities PROVIDE ORTHODONTIC/RELATED SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922500198 2018-03-05 2018-03-05 100 OBRANNON PARK AVE, DOTHAN, AL, 363032052, US 100 OBRANNON PARK AVE, DOTHAN, AL, 363032052, US

Contacts
Phone +1 334-792-1000

Authorized person
Name HEIDI MCCLINTOCK
Role INSURANCE
Phone 3347921000

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5050
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WIREGRASS ORTHODONTIC SPECIALISTS, LLC DEFINED BENEFIT PENSION PLAN 2023 680592895 2024-10-12 WIREGRASS ORTHODONTIC SPECIALISTS, 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC RETIREMENT PLAN 2023 680592895 2024-10-02 WIREGRASS ORTHODONTIC SPECIALISTS, 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621399
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC RETIREMENT PLAN 2022 680592895 2023-09-22 WIREGRASS ORTHODONTIC SPECIALISTS, 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621399
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC DEFINED BENEFIT PENSION PLAN 2022 680592895 2023-07-26 WIREGRASS ORTHODONTIC SPECIALISTS, 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC DEFINED BENEFIT PENSION PLAN 2021 680592895 2022-09-25 WIREGRASS ORTHODONTIC SPECIALISTS, 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC RETIREMENT PLAN 2021 680592895 2022-10-17 WIREGRASS ORTHODONTIC SPECIALISTS, 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621399
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC DEFINED BENEFIT PENSION PLAN 2020 680592895 2021-10-07 WIREGRASS ORTHODONTIC SPECIALISTS, 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC RETIREMENT PLAN 2020 680592895 2021-09-23 WIREGRASS ORTHODONTIC SPECIALISTS, 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621399
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC RETIREMENT PLAN 2019 680592895 2020-05-06 WIREGRASS ORTHODONTIC SPECIALISTS, 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-02-01
Business code 621399
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303
WIREGRASS ORTHODONTIC SPECIALISTS, LLC DEFINED BENEFIT PENSION PLAN 2019 680592895 2020-10-12 WIREGRASS ORTHODONTIC SPECIALISTS, 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3347921000
Plan sponsor’s address 100 OBRANNON PARK DRIVE, DOTHAN, AL, 36303

Agent

Name Role
HOWELL, JOHN P Agent

Member

Name Role
HOWELL, JOHN P Member

Related by officers

HOWELL, JOHN P

Poplar Head LLC

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

100 O'BRANNAN PARKDOTHAN, AL 36303

Wiregrass Orthodontics LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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