Name: | Davenport Family Dentistry, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 29 Aug 2018 (6 years ago) |
Entity Number: | 000-529-051 |
Register Number: | 000529051 |
County: | Morgan |
Place of Formation: | Morgan County |
Registered Office Street Address: | 2034 STRATFORD COURT SEDECATUR, AL 35601 |
Registered Office Street Address ZIP Code: | 35601 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306315890 | 2018-11-14 | 2018-11-14 | 2020 STRATFORD CT SE, DECATUR, AL, 356016553, US | 2020 STRATFORD CT SE, DECATUR, AL, 356016553, US | |||||||||||||||||||||
|
Phone | +1 256-355-0185 |
Fax | 2565840100 |
Authorized person
Name | DR. JUSTIN M BISHOP |
Role | OWNER/DENTIST |
Phone | 2563550185 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1437684107 |
State | AL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
BISHOP LEGACY PARTNERS 401(K) PROFIT SHARING PLAN | 2023 | 831731795 | 2024-07-23 | DAVENPORT FAMILY DENTISTRY, LLC | 24 | |||||||||||||
|
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BISHOP LEGACY PARTNERS 401(K) PROFIT SHARING PLAN | 2022 | 831731795 | 2023-09-29 | DAVENPORT FAMILY DENTISTRY, LLC | 23 | |||||||||||||
|
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BISHOP LEGACY PARTNERS 401(K) PROFIT SHARING PLAN | 2021 | 831751795 | 2022-10-06 | DAVENPORT FAMILY DENTISTRY, LLC | 25 | |||||||||||||
|
Name | Role | Address |
---|---|---|
BISHOP, JUSTIN M | Organizer | 2034 STRATFORD COURT SEDECATUR, AL 35601 |
BISHOP, PAUL H | Organizer | 2034 STRATFORD COURT SEDECATUR, AL 35601 |
Name | Role | Address |
---|---|---|
BISHOP, PAUL H | Agent | 2034 STRATFORD COURT SEDECATUR, AL 35601 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State