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Children's Dentistry of Alabama, LLC

Details

Name: Children's Dentistry of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Aug 2015 (10 years ago)
Entity Number: 000-342-022
Register Number: 000342022
ZIP code: 35243
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3321 WILLIS DRIVEBIRMINGHAM, AL 35243

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114390325 2015-11-10 2015-11-30 6930 CAHABA VALLEY RD, SUITE 200, BIRMINGHAM, AL, 352422672, US 6930 CAHABA VALLEY RD, SUITE 200, BIRMINGHAM, AL, 352422672, US

Contacts

Phone +1 205-613-6475

Authorized person

Name DR. JEFFREY HARRIS FLANNERY JR.
Role MANAGER
Phone 2056136475

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 6049
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OAK MOUNTAIN PEDIATRIC DENTISTRY 401(K) PLAN 2023 474779493 2024-05-07 CHILDREN'S DENTISTRY OF ALABAMA LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2059801338
Plan sponsor’s address 6930 CAHABA VALLEY ROAD, SUITE 200, BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-07
Name of individual signing QIAN LIU
OAK MOUNTAIN PEDIATRIC DENTISTRY 401(K) PLAN 2022 474779493 2023-05-30 CHILDREN'S DENTISTRY OF ALABAMA LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2059801338
Plan sponsor’s address 6930 CAHABA VALLEY ROAD, SUITE 200, BIRMINGHAM, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-30
Name of individual signing CHRISTINE RIMER

Agent

Name Role Address
FLANNERY, JEFFREY H JR Agent 3321 WILLIS DRIVEBIRMINGHAM, AL 35243

Organizer

Name Role Address
ANDERSON, BRAD S Organizer 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1328707208 2020-04-15 0459 PPP 6930 CAHABA VALLEY RD SUITE 200, BIRMINGHAM, AL, 35242-2673
Loan Status Date 2021-01-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 91548.8
Loan Approval Amount (current) 91548.8
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121641
Servicing Lender Name Pinnacle Bank
Servicing Lender Address 1811 2nd Ave, JASPER, AL, 35501-5381
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BIRMINGHAM, SHELBY, AL, 35242-2673
Project Congressional District AL-06
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 121641
Originating Lender Name Pinnacle Bank
Originating Lender Address JASPER, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 92146.95
Forgiveness Paid Date 2021-02-12

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State