| Entity Name: | ARTISTIC DENTAL OF POLK CITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2008 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2011 (13 years ago) |
| Document Number: | L08000108632 |
| FEI/EIN Number | 263770628 |
| Address: | 339 Lakeshore Ct, POLK CITY, FL, 33868, US |
| Mail Address: | 339 Lakeshore Ct., POLK CITY, FL, 33868, US |
| ZIP code: | 33868 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528301058 | 2013-04-03 | 2013-04-03 | 120 CARTER BLVD STE 7, POLK CITY, FL, 338688912, US | 120 CARTER BLVD, SUITE 7, POLK CITY, FL, 338688908, US | |||||||||||||||||
|
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| Phone | +1 863-984-0000 |
Authorized person
| Name | DR. DAVID W GOLDSTON |
| Role | MEMBER |
| Phone | 8639840000 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN4587 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLDSTON Nancy S | Agent | 339 Lakeshore Ct, POLK CITY, FL, 33868 |
| Name | Role | Address |
|---|---|---|
| GOLDSTON NANCY S | Managing Member | 339 Lakeshore Court, Polk City, FL, 33868 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 339 Lakeshore Ct, POLK CITY, FL 33868 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-23 | GOLDSTON, Nancy Sharp | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-06 | 339 Lakeshore Ct, POLK CITY, FL 33868 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-06 | 339 Lakeshore Ct, POLK CITY, FL 33868 | No data |
| REINSTATEMENT | 2011-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-05-06 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-06-25 |
| ANNUAL REPORT | 2016-06-11 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
