| Name: | Alpha Dental LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Dec 2018 (6 years ago) |
| Entity Number: | 000-537-934 |
| Register Number: | 000537934 |
| ZIP code: | 36303 |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 220 NORTH PARK AVENUEDOTHAN, AL 36303 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245868827 | 2020-03-30 | 2020-03-30 | 220 N PARK AVE, DOTHAN, AL, 363034016, US | 1865 E. MAIN ST. SUITE #2, DOTHAN, AL, 363013630, US | |||||||||||||
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| Phone | +1 302-332-5375 |
Authorized person
| Name | DR. ROTH RUBE HARRISON LEWIS |
| Role | OWNER |
| Phone | 3023325375 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALPHA DENTAL 401(K) PLAN | 2023 | 833408723 | 2024-05-17 | ALPHA DENTAL LLC | 0 | |||||||||||||||||||||||||||||
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| 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 | 2024-05-17 |
| Name of individual signing | QIAN LIU |
| Name | Role | Address |
|---|---|---|
| CALHOUN, VANESSA | Organizer | 2804 GATEWAY OAKS DR STE 100SACRAMENTO, CA 95833 |
| Name | Role |
|---|---|
| LEWIS, ROTH-RUBE H | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
