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ROBERT S. GATLING, D.D.S., P.A.

Company Details

Entity Name: ROBERT S. GATLING, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 1978 (47 years ago)
Document Number: 576747
FEI/EIN Number 591826734
Address: 1413 DUNN AVE, JACKSONVILLE, FL, 32218
Mail Address: 1413 DUNN AVE, JACKSONVILLE, FL, 32218
ZIP code: 32218
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730329657 2009-03-05 2009-03-05 1413 DUNN AVE, JACKSONVILLE, FL, 322184835, US 1413 DUNN AVE, JACKSONVILLE, FL, 322184835, US

Contacts

Phone +1 904-751-4556

Authorized person

Name DR. ROBERT S. GATLING
Role PRESIDENT
Phone 9047514556

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 7493
State FL
Is Primary Yes

Agent

Name Role Address
GATLING, ROBERT S DDS Agent 1413 DUNN AVE, JACKSONVILLE, FL, 32218

President

Name Role Address
GATLING, ROBERT S DDS President 1413 DUNN AVE, JACKSONVILLE, FL, 32218

Director

Name Role Address
GATLING, ROBERT S DDS Director 1413 DUNN AVE, JACKSONVILLE, FL, 32218

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-09-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State