| Entity Name: | PEDIATRIC DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2008 (17 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 29 May 2012 (13 years ago) |
| Document Number: | L08000049192 |
| FEI/EIN Number | 711051485 |
| Address: | 12601 Narcoossee Road, ORLANDO, FL, 32832, US |
| Mail Address: | 12601 Narcoossee Road, ORLANDO, FL, 32832, US |
| ZIP code: | 32832 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235697707 | 2019-03-04 | 2019-03-04 | 9161 NARCOOSSEE RD, STE 101B, ORLANDO, FL, 32827, US | 12601 NARCOOSSEE RD, UNITE 100A, ORLANDO, FL, 32832, US | |||||||||||||||
|
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| Phone | +1 407-737-7767 |
| Fax | 4077370769 |
Authorized person
| Name | OLUBISI ALNA |
| Role | CO-OWNER |
| Phone | 4077377767 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AINA OLUBISI | Agent | 12601 Narcoossee Road, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| AINA OLUBISI Dr. | Manager | 12601 Narcoossee Road, ORLANDO, FL, 32832 |
| HERNANDEZ LINNETTE Dr. | Manager | 12601 Narcoossee Road, ORLANDO, FL, 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000041440 | PEDIATRIC DENTAL GROUP LAKE NONA | EXPIRED | 2019-04-01 | 2024-12-31 | No data | 9161 NARCOOSSEE RD STE 101B, ORLANDO, FL, 32827 |
| G14000108281 | PEDIATRIC DENTISTRY AT LAKE NONA | EXPIRED | 2014-10-27 | 2019-12-31 | No data | 9161 NARCOOSSEE RD, SUITE 101B, ORLANDO, FL, 32827 |
| G14000083783 | PEDIATRIC DENTAL GROUP WINTER PARK | EXPIRED | 2014-08-14 | 2019-12-31 | No data | 9161 NARCOOSSEE RD. #101B, ORLANDO, FL, 32827 |
| G14000020892 | PEDIATRIC DENTAL GROUP WINTER PARK | EXPIRED | 2014-02-27 | 2019-12-31 | No data | 9161 NARCOOSSEE ROAD SUITE 101B, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-12 | 12601 Narcoossee Road, Suite 203, ORLANDO, FL 32832 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-12 | 12601 Narcoossee Road, Suite 203, ORLANDO, FL 32832 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-12 | 12601 Narcoossee Road, Suite 203, ORLANDO, FL 32832 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-08-30 | AINA, OLUBISI | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-05-29 | PEDIATRIC DENTAL GROUP, LLC | No data |
| LC NAME CHANGE | 2009-03-18 | PEDIATRIC DENTISTRY AT LAKE NONA, LLC | No data |
| LC NAME CHANGE | 2009-02-27 | LITTLE SMILES AT LAKE NONA, PEDIATRIC DENTISTRY, LLC | No data |
| LC AMENDMENT | 2008-09-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
