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Engle Dental, P.C.

Details

Name: Engle Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Oct 2019 (5 years ago)
Entity Number: 000-591-962
Register Number: 000591962
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1025 23RD STREET SOUTH SUITE 103BIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205
Authorized Capital: 1000@$1.00PV

Activities THROUGH ITS DULY LICENSED QUALIFIED PERSONS
TO ENGAGE IN DENTAL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083258651 2019-11-06 2019-11-06 2323 MOODY PKWY, MOODY, AL, 350043012, US 2323 MOODY PKWY, MOODY, AL, 350043012, US

Contacts
Phone +1 205-640-1717
Fax 2056404902

Authorized person
Name TAMIE SMITH
Role BUS ADMIN
Phone 2056401717

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENGLE DENTAL, P. C. 401K & PROFIT SHARING PLAN 2023 843522851 2024-08-09 ENGLE DENTAL, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2024-08-09
Name of individual signing DENISE LAMB
ENGLE DENTAL, P.C. CASH BALANCE PLAN 2023 843522851 2024-08-14 ENGLE DENTAL, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2024-08-14
Name of individual signing ANTHONY ENGLE
ENGLE DENTAL, P.C. CASH BALANCE PLAN 2023 843522851 2024-08-12 ENGLE DENTAL, P.C. 6
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2024-08-12
Name of individual signing ANTHONY ENGLE
ENGLE DENTAL, P. C. 401K & PROFIT SHARING PLAN 2022 843522851 2023-10-09 ENGLE DENTAL, P.C. 20
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing DENISE LAMB
ENGLE DENTAL, P. C. 401K & PROFIT SHARING PLAN 2022 843522851 2023-11-30 ENGLE DENTAL, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2023-11-30
Name of individual signing DENISE LAMB
ENGLE DENTAL, P.C. CASH BALANCE PLAN 2022 843522851 2023-10-20 ENGLE DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2023-10-20
Name of individual signing DENISE LAMB
ENGLE DENTAL, P. C. CASH BALANCE PLAN 2021 843522851 2022-10-14 ENGLE DENTAL, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004
ENGLE DENTAL, P. C. 401K & PROFIT SHARING PLAN 2021 843522851 2022-10-10 ENGLE DENTAL, P.C. 13
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing TRPC SPONSOR SERVICES
ENGLE DENTAL, P. C. 401K & PROFIT SHARING PLAN 2021 843522851 2023-12-01 ENGLE DENTAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Signature of
Role Plan administrator
Date 2023-12-01
Name of individual signing DENISE LAMB
ENGLE DENTAL, P. C. CASH BALANCE PLAN 2020 843522851 2021-10-12 ENGLE DENTAL, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 2056401717
Plan sponsor’s address 2323 MOODY PKWY, MOODY, AL, 35004

Agent

Name Role Address
DAVID C. SKINNER LLC Agent 1603 21 STREET SOUTHBIRMINGHAM, AL 35205

Director

Name Role Address
ENGLE, ANTHONY Director 1025 23RD STREET SOUTH SUITE 103BIRMINGHAM, AL 35205

Incorporator

Name Role Address
ENGLE, ANTHONY Incorporator 1025 23RD STREET SOUTH SUITE 103BIRMINGHAM, AL 35205

Related by officers

DAVID C. SKINNER LLC

Corsyntec LLC 2323 Moody Parkway LLC

ENGLE, ANTHONY

Sidero Partners LLC

Related by address

1025 23RD STREET SOUTH SUITE 103BIRMINGHAM, AL 35205

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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