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Mobile Premier Pediatric Dentistry, LLC

Details

Name: Mobile Premier Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jan 2006 (19 years ago)
Entity Number: 000-473-020
Register Number: 000473020
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 3920 AIRPORT BLVDMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881608750 2006-07-28 2020-08-22 3920 AIRPORT BLVD, STE B, MOBILE, AL, 366082207, US 3920 AIRPORT BLVD, STE B, MOBILE, AL, 366082207, US

Contacts
Phone +1 251-342-3323

Authorized person
Name MR. JOHN CHARLES WILLIAMS
Role BUSINESS MANAGER
Phone 2513423323

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 4141
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE PREMIER PEDIATRIC DENTISTRY 401K PS PLAN 2023 204037748 2024-06-17 MOBILE PREMIER PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD STE B, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing JOHN C. WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2022 204037748 2023-03-13 MOBILE PREMIER PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2023-03-13
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2021 204037748 2022-04-16 MOBILE PREMIER PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2022-04-16
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2020 204037748 2021-05-14 MOBILE PREMIER PEDIATRIC DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2019 204037748 2020-06-29 MOBILE PREMIER PEDIATRIC DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2018 204037748 2019-04-17 MOBILE PREMIER PEDIATRIC DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2019-04-17
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2017 204037748 2018-02-24 MOBILE PREMIER PEDIATRIC DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2018-02-24
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2016 204037748 2017-04-06 MOBILE PREMIER PEDIATRIC DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2017-04-06
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2015 204037748 2016-07-05 MOBILE PREMIER PEDIATRIC DENTISTRY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing JOHN WILLIAMS
MOBILE PREMIER PEDIATRIC DENTISTRY 401(K) P/S PLAN 2014 204037748 2015-05-14 MOBILE PREMIER PEDIATRIC DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-03
Business code 621210
Sponsor’s telephone number 2513423323
Plan sponsor’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608

Plan administrator’s name and address
Administrator’s EIN 204037748
Plan administrator’s name MOBILE PREMIER PEDIATRIC DENTISTRY
Plan administrator’s address 3920 AIRPORT BLVD. STE B, MOBILE, AL, 36608
Administrator’s telephone number 2513423323

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing JOHN WILLIAMS

Agent

Name Role
WILLIAMS, MAUREEN BALDY Agent

Member

Name Role
WILLIAMS, MAUREEN BALDY Member

Related by officers

No related officers

Related by address

MOBILE, AL

A-1 Fence-Craft of America, Inc. AAA Air & Hydraulics of Mobile, Inc. AAA Furniture Warehouse Co., Inc. Bradco, Inc. AAP Distributors, Inc. ABC Comfort, Inc. A B C Fence Industries, Inc. A-C Contracting Company, Inc. AEU Claims, Inc. A G R Co., Incorporated

3920 AIRPORT BLVDMOBILE, AL 36608

Children's Medical Group, Professional Association HealthCare Options, Inc. Davis Dental Group, P.C. Pediatric Properties, L.L.C.

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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