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COSMETIC DENTISTRY OF STUART, PLLC

Company Details

Entity Name: COSMETIC DENTISTRY OF STUART, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Jan 2006 (19 years ago)
Document Number: L06000000951
FEI/EIN Number 204075192
Address: 725 SE 5TH STREET, STUART, FL, 34994
Mail Address: 725 SE 5TH STREET, STUART, FL, 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285660340 2006-06-23 2020-08-22 725 SE 5TH ST, STUART, FL, 349942359, US 725 SE 5TH ST, STUART, FL, 349942359, US

Contacts

Phone +1 772-220-3720
Fax 7722210574

Authorized person

Name DR. NICHOLAS A VINCENZO
Role DENTIST/OWNER
Phone 7722203720

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN10184
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COSMETIC DENTISTRY OF STUART, PLLC 401(K) TRUST 2023 204075192 2024-12-20 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY OF STUART, PLLC 401(K) TRUST 2023 204075192 2024-07-17 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY RETIREMENT TRUST 2023 204075192 2024-07-17 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY RETIREMENT TRUST 2023 204075192 2024-12-19 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY RETIREMENT TRUST 2022 204075192 2023-10-04 COSMETIC DENTISTRY OF STUART, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY OF STUART, PLLC 401(K) TRUST 2022 204075192 2023-10-04 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY RETIREMENT TRUST 2021 204075192 2022-10-06 COSMETIC DENTISTRY OF STUART, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY OF STUART, PLLC 401(K) TRUST 2021 204075192 2022-10-06 COSMETIC DENTISTRY OF STUART, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY RETIREMENT TRUST 2020 204075192 2021-08-17 COSMETIC DENTISTRY OF STUART, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996
COSMETIC DENTISTRY OF STUART, PLLC 401(K) TRUST 2020 204075192 2021-08-17 COSMETIC DENTISTRY OF STUART, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7722203720
Plan sponsor’s address 4 RIVERVIEW DRIVE, SEWELLS POINT, FL, 34996

Agent

Name Role Address
BRECHBILL MARK C Agent 215 SOUTH FEDERAL HIGHWAY, STUART, FL, 34994

Manager

Name Role Address
VINCENZO NICHOLAS A Manager 725 SE 5TH STREET, STUART, FL, 34994

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-14 215 SOUTH FEDERAL HIGHWAY, SUITE 200, STUART, FL 34994 No data
REGISTERED AGENT NAME CHANGED 2007-04-03 BRECHBILL, MARK CPA No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-03-25

Date of last update: 01 Feb 2025

Sources: Florida Department of State