Ricciardone Family Dentistry, LLC

Details

Name:	Ricciardone Family Dentistry, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Professional Limited Liability Company
Status:	Exists
Date of registration:	05 Oct 2018 (6 years ago)
Entity Number:	000-531-875
Register Number:	000531875
County:	Mobile
Place of Formation:	Mobile County
Registered Office Street Address:	5300 OVERLOOK ROADMOBILE, AL 36618
Registered Office Street Address ZIP Code:	36618

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1427526516

2018-11-06

2018-11-06

5300 OVERLOOK RD, MOBILE, AL, 366182331, US

5300 OVERLOOK RD, MOBILE, AL, 366182331, US

Contacts

Phone	+1 251-342-6672
Fax	2513426703

Authorized person

Name	JOSHUA RICCIARDONE
Role	OWNER
Phone	2513426672

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

RICCIARDONE FAMILY DENTISTRY 401(K) PLAN

2023

832439990

2024-05-10

RICCIARDONE FAMILY DENTISTRY

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2513426672
Plan sponsor’s address	5300 OVERLOOK RD., MOBILE, AL, 36618

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-10
Name of individual signing	QIAN LIU

RICCIARDONE FAMILY DENTISTRY 401(K) PLAN

2022

832439990

2023-05-27

RICCIARDONE FAMILY DENTISTRY

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2513426672
Plan sponsor’s address	5300 OVERLOOK RD., MOBILE, AL, 36618

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	CHRISTINE RIMER

RICCIARDONE FAMILY DENTISTRY 401(K) PLAN

2021

832439990

2022-05-19

RICCIARDONE FAMILY DENTISTRY

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2513426672
Plan sponsor’s address	5300 OVERLOOK RD., MOBILE, AL, 36618

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2022-05-19
Name of individual signing	CHRISTINE RIMER

RICCIARDONE FAMILY DENTISTRY 401(K) PLAN

2020

832439990

2021-06-01

RICCIARDONE FAMILY DENTISTRY

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2513426672
Plan sponsor’s address	5300 OVERLOOK RD., MOBILE, AL, 36618

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2021-06-01
Name of individual signing	CAROL HO

Agent

Name	Role	Address
RICCIARDONE, JOSHUA P	Agent	5300 OVERLOOK ROADMOBILE, AL 36618

Organizer

Name	Role	Address
RICCIARDONE, JOSHUA P	Organizer	5300 OVERLOOK ROADMOBILE, AL 36618

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State