| Entity Name: | ALLEN FAMILY DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Mar 2008 (17 years ago) |
| Document Number: | L08000029091 |
| FEI/EIN Number | 262253264 |
| Address: | 138 COUNTRY CLUB CT., TARPON SPRINGS, FL, 34689, US |
| Mail Address: | 138 COUNTRY CLUB CT., TARPON SPRINGS, FL, 34689, US |
| ZIP code: | 34689 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902056161 | 2008-09-24 | 2008-09-24 | 138 COUNTRY CLUB CT, TARPON SPRINGS, FL, 346893704, US | 138 COUNTRY CLUB CT, TARPON SPRINGS, FL, 346893704, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-937-5159 |
| Fax | 7279375109 |
Authorized person
| Name | DR. HAYDEN PARK ALLEN |
| Role | LLC MANAGER |
| Phone | 7279375159 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5617 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 14250 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 17222 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WOLLINKA DAVID J | Agent | 138 COUNTRY CLUB CT., TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| ALLEN HAYDEN P | Managing Member | 138 COUNTRY CLUB CT., TARPON SPRINGS, FL, 34689 |
| ALLEN KRISTINE | Managing Member | 138 COUNTRY CLUB CT, TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| ALLEN DENNIS | Manager | 138 COUNTRY CLUB CT, TARPON SPRINGS, FL, 34689 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08144700046 | ALLEN DENTAL PRACTICE | EXPIRED | 2008-05-23 | 2013-12-31 | No data | 138 COUNTRY CLUB COURT, TARPON SPRINGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-17 | WOLLINKA, DAVID J. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 138 COUNTRY CLUB CT., TARPON SPRINGS, FL 34689 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
