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Buckley and Buckley Family Dentistry, LLC.

Details

Name: Buckley and Buckley Family Dentistry, LLC.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Mar 2003 (22 years ago)
Entity Number: 000-688-493
Register Number: 000688493
Historical Names: Children's Dental Clinic of Mobile, L.L.C.
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 209 SOUTH CEDAR STREETMOBILE, AL 36602
Registered Office Street Address ZIP Code: 36602
Principal Address: MOBILE, AL
Registered Office Mailing Address: POST OFFICE BOX 4POINT CLEAR, AL 36564
Registered Office Mailing Address ZIP Code: 36564

Activities PROVIDE CHILDREN'S DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932331485 2009-08-18 2009-08-18 3535 SPRING HILL AVE, MOBILE, AL, 36608, US 604 E NASHVILLE AVE, ATMORE, AL, 36502, US

Contacts
Phone +1 251-368-4210

Authorized person
Name DR. DANIEL BUCKLEY
Role OWNER/DENTIST
Phone 2513684210

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 5231
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUCKLEY AND BUCKLEY SAFE HARBOR 401 K PLAN 2016 542103356 2017-09-27 BUCKLEY AND BUCKLEY FAMILY DENTISTRY, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516251908
Plan sponsor’s address 30500 STATE HIGHWAY 181, SUITE 450, SPANISH FORT, AL, 36527

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing DANIEL BUCKLEY
Role Employer/plan sponsor
Date 2017-09-27
Name of individual signing DANIEL BUCKLEY
BUCKLEY AND BUCKLEY SAFE HARBOR 401 K PLAN 2015 542103356 2016-09-21 BUCKLEY AND BUCKLEY FAMILY DENTISTRY, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516251908
Plan sponsor’s address 30500 STATE HIGHWAY 181, SUITE 450, SPANISH FORT, AL, 36527

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing DANIEL BUCKLEY
BUCKLEY AND BUCKLEY 401(K) PROFIT SHARING PLAN 2014 542103356 2015-10-14 BUCKLEY AND BUCKLEY FAMILY DENTISTRY, LLC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516251908
Plan sponsor’s address 30500 STATE HIGHWAY 181, SUITE 450, SPANISH FORT, AL, 36527

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DANIEL M BUCKLEY
BUCKLEY AND BUCKLEY 401(K) PROFIT SHARING PLAN 2013 542103356 2017-03-24 BUCKLEY AND BUCKLEY FAMILY DENTISTRY, LLC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516251908
Plan sponsor’s address 30500 STATE HIGHWAY 181, SUITE 450, SPANISH FORT, AL, 36527

Signature of
Role Plan administrator
Date 2017-03-24
Name of individual signing DANIEL BUCKLEY
Role Employer/plan sponsor
Date 2017-03-24
Name of individual signing DANIEL BUCKLEY
BUCKLEY AND BUCKLEY 401(K) PROFIT SHARING PLAN 2013 542103356 2014-10-11 BUCKLEY AND BUCKLEY FAMILY DENTISTRY, LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2516251908
Plan sponsor’s address 30500 STATE HIGHWAY 181, SUITE 450, SPANISH FORT, AL, 36527

Signature of
Role Plan administrator
Date 2014-10-11
Name of individual signing KIMBERLY WASHINGTON
Role Employer/plan sponsor
Date 2014-10-11
Name of individual signing DANIEL BUCKLEY

Agent

Name Role
ZIEMAN, THOMAS TROY JR Agent

Member

Name Role
BUCKLEY, DANIEL M Member
BUCKLEY, LESLIE R Member

Events

Event Date Event Type Old Value New Value
2004-08-25 Name Change Children's Dental Clinic of Mobile, L.L.C. Buckley and Buckley Family Dentistry, LLC.

Related by officers

ZIEMAN, THOMAS TROY JR

L. A. Zieman & Co., Inc. Hardball, Inc. Gamer Enterprises, Inc. Miss Bama Seafood, Inc. Pinnacle Sports Management, Inc. L.A. Zieman, L.L.C. Miller, Hamilton, Snider & Odom, L.L.C. Dauphin Island Company, L.L.C. OmniViral Discovery, L.L.C. DLB, L.L.C.

BUCKLEY, DANIEL M

DLB, L.L.C.

BUCKLEY, LESLIE R

DLB, L.L.C.

Related by address

209 SOUTH CEDAR STREETMOBILE, AL 36602

OHC Trucking, L.L.C.

MOBILE, AL

A-1 Fence-Craft of America, Inc. AAA Air & Hydraulics of Mobile, Inc. AAA Furniture Warehouse Co., Inc. Bradco, Inc. AAP Distributors, Inc. ABC Comfort, Inc. A B C Fence Industries, Inc. A-C Contracting Company, Inc. AEU Claims, Inc. A G R Co., Incorporated

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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