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Alabama Oral and Maxillofacial Surgery, LLC

Details

Name: Alabama Oral and Maxillofacial Surgery, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 17 Jun 1997 (27 years ago) (Companies founded in June 1997)
Date of dissolution: 04 Dec 2019
Entity Number: 000-656-777
Register Number: 000656777
Historical Names: Herbert S. Wilson, D.M.D., L.L.C.
Drs. Wilson and Goehring, LLC
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Butler County
Principal Address: 1551 E TRINITY BLVDMONTGOMERY, AL 36106

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073640785 2007-02-28 2014-10-20 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918, US 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918, US

Contacts

Phone +1 334-271-2002
Fax 3342714523

Authorized person

Name DR. WILLIAM J GOEHRING
Role OWNER
Phone 3342712002

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 2941
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC PROFIT SHARING PLAN 2018 721376535 2019-02-22 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2019-02-22
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2019-02-22
Name of individual signing WILLIAM GOEHRING
ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC PROFIT SHARING PLAN 2017 721376535 2018-07-09 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2018-07-09
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2018-07-09
Name of individual signing WILLIAM GOEHRING
ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC PROFIT SHARING PLAN 2016 721376535 2017-07-03 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2017-07-03
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2017-07-03
Name of individual signing WILLIAM GOEHRING
ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC PROFIT SHARING PLAN 2016 721376535 2017-06-02 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 8
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2017-06-02
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2017-06-02
Name of individual signing WILLIAM GOEHRING
ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC PROFIT SHARING PLAN 2015 721376535 2016-07-05 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing WILLIAM GOEHRING
DRS. WILSON AND GOEHRING, LLC PROFIT SHARING PLAN 2014 721376535 2015-07-06 ALABAMA ORAL AND MAXILLOFACIAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD, MONTGOMERY, AL, 361062918

Signature of

Role Plan administrator
Date 2015-07-06
Name of individual signing WILLIAM GOEHRING
Role Employer/plan sponsor
Date 2015-07-06
Name of individual signing WILLIAM GOEHRING
DRS. WILSON AND GOEHRING, LLC PROFIT SHARING PLAN & TRUST 2012 721376535 2013-10-21 DRS. WILSON AND GOEHRING, LLC 14
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106

Plan administrator’s name and address

Administrator’s EIN 721376535
Plan administrator’s name DRS. WILSON AND GOEHRING, LLC
Plan administrator’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106
Administrator’s telephone number 3342712002

Signature of

Role Plan administrator
Date 2013-10-21
Name of individual signing HERBERT S. WILSON
DRS. WILSON AND GOEHRING, LLC PROFIT SHARING PLAN & TRUST 2012 721376535 2014-05-06 DRS. WILSON AND GOEHRING, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106

Plan administrator’s name and address

Administrator’s EIN 721376535
Plan administrator’s name DRS. WILSON AND GOEHRING, LLC
Plan administrator’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106
Administrator’s telephone number 3342712002

Signature of

Role Plan administrator
Date 2014-05-06
Name of individual signing HERBERT S. WILSON
DRS. WILSON AND GOEHRING, LLC PROFIT SHARING PLAN & TRUST 2012 721376535 2013-08-06 DRS. WILSON AND GOEHRING, LLC 14
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106

Plan administrator’s name and address

Administrator’s EIN 721376535
Plan administrator’s name DRS. WILSON AND GOEHRING, LLC
Plan administrator’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106
Administrator’s telephone number 3342712002

Signature of

Role Plan administrator
Date 2013-08-06
Name of individual signing MATTHEW SCHOEN
DRS. WILSON AND GOEHRING, LLC PROFIT SHARING PLAN AND TRUST 2011 721376535 2012-10-15 DRS. WILSON AND GOEHRING, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 3342712002
Plan sponsor’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106

Plan administrator’s name and address

Administrator’s EIN 721376535
Plan administrator’s name DRS. WILSON AND GOEHRING, LLC
Plan administrator’s address 4590 WOODMERE BLVD., MONTGOMERY, AL, 36106
Administrator’s telephone number 3342712002

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing HERBERT S. WILSON
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing HERBERT S. WILSON

Agent

Name Role
WILSON, HERBERT S Agent

Member

Name Role
WILSON, HERBERT S Member
PHELAN, STEPHEN S Member

Organizer

Name Role Address
GOEHRING, WILLIAM J Organizer 4590 WOODMERE BOULEVARDMONTGOMERY, AL 36106

Events

Event Date Event Type Old Value New Value
2014-07-23 Name Change Drs. Wilson and Goehring, LLC Alabama Oral and Maxillofacial Surgery, LLC
2000-01-21 Name Change Herbert S. Wilson, D.M.D., L.L.C. Drs. Wilson and Goehring, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State