| Name: | PEDIATRIC DENTISTRY OF ALASKA |
| Jurisdiction: | Alaska |
| Legal type: | Business Name Registration |
| Status: | Active Name |
| Date of registration: | 15 Jul 2014 (10 years ago) |
| Expiration date: | 31 Dec 2028 |
| Entity Number: | 10022270 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3470 E MERIDIAN PARK LOOP, WASILLA, AK 99654 |
Line of Business
62 Health Care and Social AssistanceNAICS
621210 OFFICES OF DENTISTS| Name | Role |
|---|---|
| ROGER D. BECK, D.D.S., A PROFESSIONAL CORPORATION | Owner |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEDIATRIC DENTISTRY OF ALASKA RETIREMENT PLAN & TRUST | 2023 | 831278522 | 2024-09-19 | 51 | |||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 823719843 |
| Plan administrator’s name | FUTUREPLAN FIDUCIARY SERVICES LLC |
| Plan administrator’s address | PO BOX 55757, BOSTON, MA, 02205 |
| Administrator’s telephone number | 8557115283 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-19 |
| Name of individual signing | GINA FLORA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | PEDIATRIC DENTISTRY OF ALASKA |
| Business code | 621210 |
| Sponsor’s telephone number | 9073738684 |
| Plan sponsor’s address | 3470 EAST MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-11 |
| Name of individual signing | ROGER D. BECK, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | PEDIATRIC DENTISTRY OF ALASKA |
| Business code | 621210 |
| Sponsor’s telephone number | 9073738684 |
| Plan sponsor’s address | 3470 EAST MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-07 |
| Name of individual signing | ROGER D. BECK, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | PEDIATRIC DENTISTRY OF ALASKA |
| Business code | 621210 |
| Sponsor’s telephone number | 9073738684 |
| Plan sponsor’s address | 3470 EAST MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | ROGER D. BECK, D.D.S. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Sponsor | PEDIATRIC DENTISTRY OF ALASKA |
| Business code | 621210 |
| Sponsor’s telephone number | 9073738684 |
| Plan sponsor’s address | 3470 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-10 |
| Name of individual signing | ROGER D. BECK, D.D.S. |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 266175 | Active | 1999-08-27 | 2022-12-28 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| Business License | 1077721 | Active | 2018-08-17 | 2023-10-23 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| Business License | 2088463 | Active | 2019-06-07 | 2022-12-28 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| Business License | 2172577 | Active | 2023-01-10 | - | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
