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McLemore Dentistry, LLC

Details

Name: McLemore Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Aug 2019 (5 years ago)
Entity Number: 000-584-452
Register Number: 000584452
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2727 SMYER ROADVESTAVIA HILLS, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780264234 2021-04-09 2023-11-21 5740 CARMICHAEL RD, MONTGOMERY, AL, 361172312, US 5740 CARMICHAEL RD, MONTGOMERY, AL, 361172312, US

Contacts

Phone +1 334-277-9570
Fax 3342770152

Authorized person

Name CHRISTINE DELCOUR
Role BUSINESS MANAGER
Phone 3342779570

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCLEMORE DENTISTRY RETIREMENT PLAN & TRUST 2023 842727027 2024-08-15 MCLEMORE DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3342779570
Plan sponsor’s address 5740 CARMICHAEL ROAD, MONTGOMERY, AL, 36117
MCLEMORE DENTISTRY RETIREMENT PLAN & TRUST 2022 842727027 2023-08-09 MCLEMORE DENTISTRY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3342779570
Plan sponsor’s address 5740 CARMICHAEL ROAD, MONTGOMERY, AL, 36117
MCLEMORE DENTISTRY RETIREMENT PLAN & TRUST 2021 842727027 2022-10-04 MCLEMORE DENTISTRY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3342779570
Plan sponsor’s address 5740 CARMICHAEL ROAD, MONTGOMERY, AL, 36117

Agent

Name Role
MCLEMORE, CLARK DMD Agent

Organizer

Name Role Address
GOSNELL, SCOTT W Organizer P.O. BOX 661196BIRMINGHAM, AL 35266

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State