| Name: | Professional Lane Dental, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Mar 2020 (5 years ago) (Companies founded in March 2020) |
| Entity Number: | 000-626-427 |
| Register Number: | 000626427 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 102 PROFESSIONAL LANEDOTHAN, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508486424 | 2020-04-21 | 2020-05-13 | 102 PROFESSIONAL LN, DOTHAN, AL, 363033874, US | 102 PROFESSIONAL LN, DOTHAN, AL, 363033874, US | |||||||||||||||
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| Phone | +1 334-792-0997 |
| Fax | 3347026896 |
Authorized person
| Name | JOLINDA STRICKLAND |
| Role | OFFICE MANAGER |
| Phone | 3347920997 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFESSIONAL LANE DENTAL, PLLC 401K PROFIT SHARING PLAN | 2023 | 850517615 | 2024-10-02 | PROFESSIONAL LANE DENTAL, PLLC | 20 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ANGELA DOUGHERTY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-02 |
| Name of individual signing | JOSEPH DOUGHERTY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-09-30 |
| Business code | 621210 |
| Sponsor’s telephone number | 3347920997 |
| Plan sponsor’s address | 102 PROFESSIONAL LANE, DOTHAN, AL, 36303 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-16 |
| Name of individual signing | ANGELA DOUGHERTY |
| Name | Role | Address |
|---|---|---|
| HEIN, NANCY | Agent | 102 PROFESSIONAL LANEDOTHAN, AL 36303 |
| Name | Role | Address |
|---|---|---|
| HEIN, NANCY | Organizer | 102 PROFESSIONAL LANEDOTHAN, AL 36303 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
