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  5. SERENITY DENTAL, LLC

SERENITY DENTAL, LLC

Company Details

Entity Name: SERENITY DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 Feb 2003 (22 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Oct 2022 (2 years ago)
Document Number: L03000006179
FEI/EIN Number 56-2321221
Address: 1849 COLLIER PKWY, LUTZ, FL 33549
Mail Address: 1849 COLLIER PKWY, LUTZ, FL 33549
ZIP code: 33549
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952700247 2014-08-22 2014-08-22 1849 COLLIER PKWY, LUTZ, FL, 335498718, US 1849 COLLIER PKWY, LUTZ, FL, 335498718, US

Contacts
Phone +1 813-909-8400
Fax 8139097060

Authorized person
Name NILA PATEL
Role OFFICE MANAGER
Phone 8139098400

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN16043
State FL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN16415
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SERENITY DENTAL LLC 401(K) PLAN 2022 562321221 2023-10-03 SERENITY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2021 562321221 2022-07-25 SERENITY DENTAL LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2020 562321221 2021-10-04 SERENITY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2019 562321221 2020-10-12 SERENITY DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2018 562321221 2020-10-12 SERENITY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2018 562321221 2019-10-15 SERENITY DENTAL LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2017 562321221 2018-10-15 SERENITY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2016 562321221 2018-01-22 SERENITY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400
SERENITY DENTAL LLC 401(K) PLAN 2015 562321221 2016-10-14 SERENITY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing NILASH PATEL
Valid signature Filed with authorized/valid electronic signature
SERENITY DENTAL LLC 401(K) PLAN 2014 562321221 2015-10-13 SERENITY DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8139098400
Plan sponsor’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549

Plan administrator’s name and address
Administrator’s EIN 562321221
Plan administrator’s name SERENITY DENTAL LLC
Plan administrator’s address 1849 COLLIER PARKWAY, LUTZ, FL, 33549
Administrator’s telephone number 8139098400

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing NILASH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL, NILASH S Agent 1849 COLLIER PKWY, LUTZ, FL 33549

Managing Member

Name Role Address
NILASH PATEL DMD PA Managing Member 1849 COLLIER PKWY, LUTZ, FL 33549
NITASH PATEL DMD PA Managing Member 1849 COLLIER PKWY, LUTZ, FL 33549

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-13 No data No data
REGISTERED AGENT NAME CHANGED 2022-10-13 PATEL, NILASH S No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2005-01-10 1849 COLLIER PKWY, LUTZ, FL 33549 No data
CHANGE OF PRINCIPAL ADDRESS 2004-06-25 1849 COLLIER PKWY, LUTZ, FL 33549 No data
CHANGE OF MAILING ADDRESS 2004-06-25 1849 COLLIER PKWY, LUTZ, FL 33549 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-03-02
REINSTATEMENT 2022-10-13
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-03-24

Related by officers

PATEL, NILASH S

MINT DENTAL BRADENTON PLLC MINT DENTAL REAL ESTATE LLC NILASH S PATEL DMD PA SERENITY DENTAL AT FISHHAWK LLC

NILASH PATEL DMD PA

SERENITY DENTAL AT ZEPHYRHILLS LLC SERENITY DENTAL AT SEVEN OAKS LLC

NITASH PATEL DMD PA

SERENITY DENTAL AT ZEPHYRHILLS LLC SERENITY DENTAL AT SEVEN OAKS LLC

Related by address

1849 COLLIER PKWY, LUTZ, FL 33549

MINT DENTAL TEMPLE TERRACE PLLC MINT DENTAL PLLC MINT DENTAL BRADENTON PLLC MINT DENTAL REAL ESTATE LLC INVESTMENT PROPERTIES OF FLORIDA LLC NILASH S PATEL DMD PA PREMIER DENTURE CENTER, LLC NITASH S PATEL DMD PA SERENITY DENTAL AT FISHHAWK LLC INVESTMENT PROPERTIES OF FLORIDA 1 LLC

1849 COLLIER PKWY, LUTZ, FL 33549

MINT DENTAL TEMPLE TERRACE PLLC MINT DENTAL PLLC MINT DENTAL BRADENTON PLLC MINT DENTAL REAL ESTATE LLC INVESTMENT PROPERTIES OF FLORIDA LLC NILASH S PATEL DMD PA PREMIER DENTURE CENTER, LLC NITASH S PATEL DMD PA SERENITY DENTAL AT FISHHAWK LLC INVESTMENT PROPERTIES OF FLORIDA 1 LLC

Date of last update: 30 Jan 2025

Sources: Florida Department of State

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