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Morgan B. Taylor, D.M.D., LLC

Details

Name: Morgan B. Taylor, D.M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jul 2020 (4 years ago) (Companies founded in July 2020)
Entity Number: 000-640-724
Register Number: 000640724
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 107 MECCA AVENUEHOMEWOD, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932711850 2020-08-21 2020-08-21 107 MECCA AVE, HOMEWOOD, AL, 352093457, US 3284 MORGAN DR STE 104, VESTAVIA HILLS, AL, 352163086, US

Contacts

Phone +1 256-508-5971
Phone +1 205-822-7224
Fax 2058227238

Authorized person

Name DR. MORGAN B TAYLOR
Role OWNER/SOLE MEMBER
Phone 2565085971

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VESTAVIA SMILES 401(K) PLAN 2023 852201476 2024-04-30 MORGAN B. TAYLOR, D.M.D., LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565085971
Plan sponsor’s address 3284 MORGAN DRIVE STE 104, VESTAVIA HILLS, AL, 35216

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing TOMMY HORST
VESTAVIA SMILES 401(K) PLAN 2022 852201476 2023-10-08 MORGAN B. TAYLOR, D.M.D., LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565085971
Plan sponsor’s address 3284 MORGAN DRIVE STE 104, VESTAVIA HILLS, AL, 35216

Signature of

Role Plan administrator
Date 2023-10-08
Name of individual signing TOMMY HORST
VESTAVIA SMILES 401(K) PLAN 2021 852201476 2022-10-14 MORGAN B. TAYLOR, D.M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565085971
Plan sponsor’s address 3284 MORGAN DRIVE STE 104, VESTAVIA HILLS, AL, 35216

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing TOMMY HORST

Agent

Name Role
MORGAN B TAYLOR D.M.D. Agent

Organizer

Name Role Address
JACKMAN, LAURA M Organizer 800 SHADES CREEK PARKWAY, SUITE 400BIRMINGHAM, AL 35209

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State