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  5. Alabama Dental Associates, P.C.

Alabama Dental Associates, P.C.

Details

Name: Alabama Dental Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 29 Jun 1982 (43 years ago)
Entity Number: 000-064-628
Register Number: 000064628
Historical Names: Buckner & Walker, Professional Association
ZIP code: 35210
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 3920 KILGORE MEMORIAL DRIVEBIRMINGHAM, AL 35210
Authorized Capital: $100

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811452253 2019-02-08 2019-02-08 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 352101204, US 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 352101204, US

Contacts
Phone +1 205-956-8977
Fax 2059568340

Authorized person
Name BRIAN RICHERZHAGEN
Role DENTIST/OWNER
Phone 2059568977

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2023 630828598 2024-06-20 ALABAMA DENTAL ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing JEFF NEWDOME
Role Employer/plan sponsor
Date 2024-06-20
Name of individual signing JEFF NEWDOME
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2022 630828598 2023-05-23 ALABAMA DENTAL ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing JEFF NEWDOME
Role Employer/plan sponsor
Date 2023-05-23
Name of individual signing JEFF NEWDOME
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2021 630828598 2022-05-19 ALABAMA DENTAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing JEFF NEWDOME
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2020 630828598 2021-05-12 ALABAMA DENTAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2021-05-12
Name of individual signing DEREK RICHESIN
Role Employer/plan sponsor
Date 2021-05-12
Name of individual signing DEREK RICHESIN
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2019 630828598 2020-05-04 ALABAMA DENTAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2020-05-04
Name of individual signing R DEREK RICHESIN
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing R DEREK RICHESIN
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2018 630828598 2019-06-06 ALABAMA DENTAL ASSOCIATES, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing DEREK RICHESIN
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2017 630828598 2018-05-15 ALABAMA DENTAL ASSOCIATES, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing DEREK RICHESIN
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 630828598 2017-07-24 ALABAMA DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing JEFF T NEWDOME
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing JEFF T NEWDOME
ALABAMA DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 630828598 2016-06-14 ALABAMA DENTAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2059568977
Plan sponsor’s address 3920 GRANTS MILL ROAD, BIRMINGHAM, AL, 35210

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing JEFF NEWDOME

Incorporator

Name Role
BUCKNER, MARK A Incorporator
WALKER, THOMAS G Incorporator

Agent

Name Role
BUCKNER, MARK A Agent

Events

Event Date Event Type Old Value New Value
2002-07-15 Name Change Buckner & Walker, Professional Association Alabama Dental Associates, P.C.
2002-07-15 Capital Change -0- Authorized -0- Paid In $100 Authorized undefined Paid In

Related by officers

BUCKNER, MARK A

Smiles of Grace

WALKER, THOMAS G

Thomas G. Walker, D.M.D., P.C.

Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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