| Name: | Rabbit Creek Dental PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Aug 2021 (3 years ago) (Companies founded in August 2021) |
| Entity Number: | 000-879-437 |
| Register Number: | 000879437 |
| ZIP code: | 36619 (Companies in Mobile, 36619) |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4371 River Oaks LaneMobile, AL 36619 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851057616 | 2021-11-16 | 2021-12-01 | 4371 RIVER OAKS LN, MOBILE, AL, 366199570, US | 5000 RANGELINE CROSSING BLVD. STE D, MOBILE, AL, 366199517, US | |||||||||||||
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| Phone | +1 251-533-7103 |
Authorized person
| Name | DR. JOSEPH VAN GEGZNA |
| Role | OWNER |
| Phone | 2513080584 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RABBIT CREEK DENTAL, PLLC 401(K) PLAN | 2023 | 872289546 | 2024-07-22 | RABBIT CREEK DENTAL, PLLC | 4 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Name | Role |
|---|---|
| Van Gegzna, Joseph | Agent |
| Name | Role | Address |
|---|---|---|
| Burnett, James E | Organizer | 230 S Broad St, Suite 305Philadelphia, PA 19102 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
