| Entity Name: | CLEARWATER DENTAL ASSOCIATES, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Dec 2001 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Apr 2016 (9 years ago) |
| Document Number: | L01000022563 |
| FEI/EIN Number | 592981551 |
| Address: | 2226 DRUID ROAD EAST, CLEARWATER, FL, 33764 |
| Mail Address: | 2226 DRUID ROAD EAST, CLEARWATER, FL, 33764 |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023042967 | 2006-07-10 | 2020-08-22 | 2226 DRUID ROAD E, CLEARWATER, FL, 33764, US | 2226 DRUID ROAD E, CLEARWATER, FL, 33764, US | |||||||||||||||||||||||
|
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| Phone | +1 727-797-8800 |
| Fax | 7277913820 |
Authorized person
| Name | DR. NOLAN W ALLEN |
| Role | OWNER |
| Phone | 7277978800 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ALLEN NOLAN W | Agent | 2226 DRUID ROAD EAST, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| ALLEN NOLAN W | Managing Member | 9159 JAKES PATH, LARGO, FL, 33771 |
| BURTON MATTHEW R | Managing Member | 3649 ARBOR CHASE DRIVE, PALM HARBOR, FL, 34683 |
| HAYSLETT JAMES R | Managing Member | 1431 MAPLE FOREST ROAD, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2016-04-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-04 | ALLEN, NOLAN W | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2013-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-10 |
| REINSTATEMENT | 2016-04-04 |
| ANNUAL REPORT | 2014-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
