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Florala Family Dental Care LLC

Details

Name: Florala Family Dental Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Aug 2018 (6 years ago) (Companies founded in August 2018)
Entity Number: 000-526-666
Register Number: 000526666
ZIP code: 36442 (Companies in Covington, 36442)
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 24244 5TH AVENUEFLORALA, AL 36442

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336635895 2018-07-09 2018-07-09 24244 5TH AVE, FLORALA, AL, 364423522, US 24244 5TH AVE, FLORALA, AL, 364423522, US

Contacts

Phone +1 334-219-5831
Fax 3346476475

Authorized person

Name DR. JOHN W FRERICH
Role OWNER/DENTIST
Phone 3342195831

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6491C
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORALA FAMILY DENTAL CARE LLC RETIREMENT PLAN & TRUST 2023 831150443 2024-04-01 FLORALA FAMILY DENTAL CARE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3342195831
Plan sponsor’s address 24244 5TH AVENUE, FLORALA, AL, 36442
FLORALA FAMILY DENTAL CARE LLC RETIREMENT PLAN & TRUST 2022 831150443 2023-06-13 FLORALA FAMILY DENTAL CARE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3342195831
Plan sponsor’s address 24244 5TH AVENUE, FLORALA, AL, 36442
FLORALA FAMILY DENTAL CARE LLC RETIREMENT PLAN & TRUST 2021 831150443 2022-07-26 FLORALA FAMILY DENTAL CARE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3342195831
Plan sponsor’s address 24244 5TH AVENUE, FLORALA, AL, 36442
FLORALA FAMILY DENTAL CARE LLC RETIREMENT PLAN & TRUST 2020 831150443 2021-07-28 FLORALA FAMILY DENTAL CARE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3342195831
Plan sponsor’s address 24244 5TH AVENUE, FLORALA, AL, 36442

Agent

Name Role Address
FRENCH, JOHN W Agent 24244 5TH AVENUEFLORALA, AL 36442

Organizer

Name Role Address
FRENCH, JOHN W Organizer 24244 5TH AVENUEFLORALA, AL 36442

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State