| Name: | Limestone Pediatric Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2020 (5 years ago) |
| Entity Number: | 000-623-669 |
| Register Number: | 000623669 |
| Historical Names: |
Lindsey Rodriguez, DMD, LLC
|
| County: | Shelby |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 20207 KENLEY WAYBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326631698 | 2021-02-17 | 2021-06-09 | 22051 US HIGHWAY 72 STE F, ATHENS, AL, 356132665, US | 22051 US HIGHWAY 72 STE F, ATHENS, AL, 356132665, US | |||||||||||||||
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| Phone | +1 256-434-5667 |
| Fax | 2564345668 |
Authorized person
| Name | DR. LINDSEY RODRIGUEZ |
| Role | PEDIATRIC DENTIST |
| Phone | 2564345667 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIMESTONE PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 850624629 | 2024-05-10 | LIMESTONE PEDIATRIC DENTISTRY, LLC | 8 | |||||||||||||||||||||||||||||
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| 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 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2564345667 |
| Plan sponsor’s address | 22051 US HIGHWAY 72, STE F, ATHENS, AL, 35613 |
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 | 2023-05-28 |
| Name of individual signing | CHRISTINE RIMER |
| Name | Role |
|---|---|
| RODRIGUEZ, LINDSEY | Agent |
| Name | Role | Address |
|---|---|---|
| ANDERSON, BRAD S. | Organizer | 1819 FIFTH AVENUE NORTH SUITE 1000BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-11-05 | Name Change | Lindsey Rodriguez, DMD, LLC | Limestone Pediatric Dentistry, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
