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Gibson Orthodontics, LLC

Details

Name: Gibson Orthodontics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Dec 2021 (3 years ago)
Entity Number: 000-955-892
Register Number: 000955892
County: Limestone
Place of Formation: Alabama
Registered Office Street Address: 110 Stillmeadow DrMadison, AL 35756
Registered Office Street Address ZIP Code: 35756

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194486522 2022-01-07 2023-02-17 581 HUGHES RD, MADISON, AL, 357588979, US 581 HUGHES RD, MADISON, AL, 357588979, US

Contacts

Phone +1 256-772-0041

Authorized person

Name DR. MATTHEW GIBSON
Role MANAGING MEMBER
Phone 2567976135

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIBSON ORTHODONTICS RETIREMENT PLAN & TRUST 2023 874019522 2024-10-03 GIBSON ORTHODONTICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2567720041
Plan sponsor’s address 581 HUGHES RD, MADISON, AL, 35758

Agent

Name Role
Gibson, Matthew J Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State