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CK Family Dental, LLC

Details

Name: CK Family Dental, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 18 May 2022 (2 years ago)
Entity Number: 001-020-672
Register Number: 001020672
County: Mobile
Place of Formation: Alabama
Registered Office Street Address: 315 COUNTY HIGHWAY 43 NORTHSARALAND, AL 36571
Registered Office Street Address ZIP Code: 36571

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144958349 2022-08-15 2022-08-15 14 LAFAYETTE DR, SARALAND, AL, 365712310, US 315 HIGHWAY 43 N STE C, SARALAND, AL, 365712101, US

Contacts

Phone +1 205-270-9896
Phone +1 251-675-8658

Authorized person

Name DR. CHELSEA N KILLINGSWORTH
Role DENTIST
Phone 2052709896

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CK FAMILY DENTAL, LLC 401(K) PLAN 2023 882642002 2024-10-02 CK FAMILY DENTAL, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 2516854423
Plan sponsor’s address 315 SARALAND BLVD N STE C, SARALAND, AL, 36571

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CHELSEA NICOLE KILLINGSWORTH Agent

Organizer

Name Role Address
Jon J Rutledge, LLC Organizer 300 Vestavia Parkway, Suite 2300Birmingham, AL 35216

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State