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INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. - Florida Company Profile

Company Details

Entity Name: INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 May 1978 (47 years ago)
Date of dissolution: 28 Dec 2011 (13 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Dec 2011 (13 years ago)
Document Number: 570684
FEI/EIN Number 591823589

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 111 2ND AVE NE #1104, ST PETERSBURG, FL, 33701-3443
Mail Address: 111 2ND AVE NE #1104, ST PETERSBURG, FL, 33701-3443
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154643377 2010-02-16 2010-06-23 111 2ND AVE NE, #1104, SAINT PETERSBURG, FL, 337013434, US 111 2ND AVE NE, #1104, SAINT PETERSBURG, FL, 337013434, US

Contacts
Phone +1 727-821-4433
Fax 7278227252

Authorized person
Name MRS. DREAMA MICHELLE WEGZYN
Role RN, OFFICE MANAGER
Phone 7278214433

Taxonomy
Taxonomy Code 332BC3200X - Customized Equipment (DME)
License Number DN4596
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NPI
Number 1477679470
State FL
Issuer NPI
Number 1770602567
State FL
Issuer PTAN
Number 6301580001
State FL
Issuer NPI
Number 1679692461
State FL
Issuer NPI
Number 1952426439
State FL
Issuer NPI
Number 1295851293
State FL
Issuer NPI
Number 1154643377
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. PROFIT SHARING PLAN 2011 591823589 2012-08-23 INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-05-29
Business code 621210
Sponsor’s telephone number 7278214433
Plan sponsor’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701

Plan administrator’s name and address
Administrator’s EIN 591823589
Plan administrator’s name INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC.
Plan administrator’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701
Administrator’s telephone number 7278214433

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing KENNETH GRUNDSET
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. PROFIT SHARING PLAN 2010 591823589 2011-09-23 INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-05-29
Business code 621210
Sponsor’s telephone number 7278214433
Plan sponsor’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701

Plan administrator’s name and address
Administrator’s EIN 591823589
Plan administrator’s name INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC.
Plan administrator’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701
Administrator’s telephone number 7278214433

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing KENNETH GRUNDSET
Valid signature Filed with authorized/valid electronic signature
INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. PROFIT SHARING PLAN 2009 591823589 2010-09-03 INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-05-29
Business code 621210
Sponsor’s telephone number 7278214433
Plan sponsor’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701

Plan administrator’s name and address
Administrator’s EIN 591823589
Plan administrator’s name INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC.
Plan administrator’s address 111 2ND AVENUE NE, #1104, ST. PETERSBURG, FL, 33701
Administrator’s telephone number 7278214433

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing KENNETH GRUNDSET
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
DUPONT, GLENN E. Agent 111 2ND AVE NE #1104, SAINT PETERSBURG, FL, 337013443
DUPONT, GLENN E. President 111 2ND AVE NE #1104, ST. PETERSBURG, FL, 337013443
SCOTT CARLEY J Treasurer 111 2ND AVE NE #1104, ST PETERSBURG, FL, 337013443
WILKERSON DEWITT C Vice President 111 2ND AVE NE #1104, ST. PETERSBURG, FL, 337013443
WILKERSON DEWITT C Secretary 111 2ND AVE NE #1104, ST. PETERSBURG, FL, 337013443
GRUNDSET KENNETH W Vice President 111 2ND AVE. NE #1104, ST. PETERSBURG, FL, 337013443
DAXON KIMBERLY D Assistant Secretary 111 2ND AVE NE #1104, ST PETERSBURG, FL, 337013443

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-12-28 - -
REGISTERED AGENT ADDRESS CHANGED 2005-06-29 111 2ND AVE NE #1104, SAINT PETERSBURG, FL 33701-3443 -
CHANGE OF PRINCIPAL ADDRESS 2005-06-29 111 2ND AVE NE #1104, ST PETERSBURG, FL 33701-3443 -
CHANGE OF MAILING ADDRESS 2005-06-29 111 2ND AVE NE #1104, ST PETERSBURG, FL 33701-3443 -
AMENDMENT 2005-05-31 - -
NAME CHANGE AMENDMENT 2004-10-04 INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC. -
NAME CHANGE AMENDMENT 2001-02-06 DUPONT, WILKERSON, GRUNDSET, DAXON & SCOTT, DENTISTRY, P.A. -
NAME CHANGE AMENDMENT 1995-08-18 ROACH, DUPONT, WILKERSON & GRUNDSET, DENTISTRY, P.A. -
CORPORATE MERGER 1995-01-17 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 300000005823
REGISTERED AGENT NAME CHANGED 1988-03-14 DUPONT, GLENN E. -

Documents

Name Date
Voluntary Dissolution 2011-12-28
ANNUAL REPORT 2011-01-19
ANNUAL REPORT 2010-05-18
ANNUAL REPORT 2009-03-25
ANNUAL REPORT 2008-02-08
ANNUAL REPORT 2007-03-22
ANNUAL REPORT 2006-01-25
ANNUAL REPORT 2005-06-29
Amendment 2005-05-31
Name Change 2004-10-04

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Companies related by address

No other companies in our directory share the same address as INTERNATIONAL CENTER FOR COMPLETE DENTISTRY, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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