DOL Form 5500 · JSON-LD · Markdown

DIVERGENT DENTAL GROUP, LLC WELFARE BENEFIT PLAN

Sponsored by DIVERGENT DENTAL GROUP, LLC · EIN 844962567 · FL

Participants
107
Active
82
Retired/sep receiving
3

Welfare benefits

4A4B4E4H4F 4A4B4E4H4F

Sponsor + Administrator

SponsorDIVERGENT DENTAL GROUP, LLC
Sponsor EIN844962567
Address111 S ALBANY AVE STE 100, TAMPA, FL, 336061780
Phone8135681197
Business code (NAICS)621210
Plan number501
Plan effective2023-01-01
Filed for year2024
FundingInsurance contracts

External sources

Source: DOL EBSA Form 5500 disclosure. Public domain.