| Name: | Dental Professionals on Whitesburg, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Dec 2017 (7 years ago) (Companies founded in December 2017) |
| Entity Number: | 000-505-220 |
| Register Number: | 000505220 |
| Historical Names: |
Dental Professionals on Whitesburg
|
| ZIP code: | 35802 (Companies in Madison, 35802) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 8315 WHITESBURG DRIVEHUNTSVILLE, AL 35802 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407279722 | 2014-01-22 | 2014-01-22 | 8315 WHITESBURG DR SE, HUNTSVILLE, AL, 358023007, US | 8315 WHITESBURG DR SE, HUNTSVILLE, AL, 358023007, US | |||||||||||||||||||
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| Phone | +1 256-883-6770 |
| Fax | 2568838355 |
Authorized person
| Name | MRS. SONYA LAMBERT WINTZELL |
| Role | DOCTOR/OWNER |
| Phone | 2568836770 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5030 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENTAL PROFESSIONALS ON WHITESBURG RETIREMENT PLAN & TRUST | 2017 | 464208747 | 2018-09-14 | DENTAL PROFESSIONALS ON WHITESBURG | 26 | |||||||||||||||||||||
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| DENTAL PROFESSIONALS ON WHITESBURG RETIREMENT PLAN & TRUST | 2016 | 464208747 | 2017-10-02 | DENTAL PROFESSIONALS ON WHITESBURG | 26 | |||||||||||||||||||||
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| DENTAL PROFESSIONALS ON WHITESBURG RETIREMENT PLAN & TRUST | 2015 | 464208747 | 2016-08-04 | DENTAL PROFESSIONALS ON WHITESBURG | 25 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-08-04 |
| Name of individual signing | LISA D. BRUCE, D.M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2568836770 |
| Plan sponsor’s address | 8315 WHITESBURG SOUTH, HUNTSVILLE, AL, 35802 |
Signature of
| Role | Plan administrator |
| Date | 2015-09-10 |
| Name of individual signing | LISA D. BRUCE, D.M.D. |
| Name | Role | Address |
|---|---|---|
| WINTZELL, SONYA L | Agent | 8315 WHITESBURG DRIVEHUNTSVILLE, AL 35802 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2018-01-08 | Name Change | Dental Professionals on Whitesburg | Dental Professionals on Whitesburg, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
