BENNETT FAMILY DENTISTRY LLC

Contacts

Phone	+1 334-272-3776

Authorized person

Name	MATTHEW CALHOUN BENNETT
Role	PRESIDENT
Phone	3342723776

Taxonomy

Taxonomy Code	1223G0001X - General Practice Dentistry
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	3343869592
Plan sponsor’s address	4270 CARMICHAEL ROAD, MONTGOMERY, AL, 36106

Signature of

Role	Plan administrator
Date	2024-07-15
Name of individual signing	MATTHEW BENNETT

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	3343869592
Plan sponsor’s address	4270 CARMICHAEL ROAD, MONTGOMERY, AL, 36106

Signature of

Role	Plan administrator
Date	2023-03-23
Name of individual signing	MATTHEW BENNETT

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	3342723776
Plan sponsor’s address	4270 CARMICHAEL ROAD, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	3342723776
Plan sponsor’s address	4270 CARMICHAEL ROAD, MONTGOMERY, AL, 36106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	3342723776
Plan sponsor’s address	4270 CARMICHAEL ROAD, MONTGOMERY, AL, 36106