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DENTAL SPECIALISTS OF NORTH FLORIDA LLC - Florida Company Profile

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Company Details

Entity Name: DENTAL SPECIALISTS OF NORTH FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Nov 2009 (16 years ago)
Document Number: L09000113948
FEI/EIN Number 271396570
Address: 124 INLET DR, SAINT AUGUSTINE, FL, 32080, US
Mail Address: 124 INLET DR, SAINT AUGUSTINE, FL, 32080, US
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THOUSAND ROBERT RJr. Managing Member 124 INLET DR, ST AUGUSTINE, FL, 32080
OCONNELL WILLIAM H Agent 700 Plantation Island Drive, S, ST AUGUSTINE, FL, 32080

National Provider Identifier

NPI Number:
1265756571

Authorized Person:

Name:
DR. ROBERT ROY THOUSAND JR.
Role:
OWNER/PERIODONTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fax:
3864454247

Form 5500 Series

Employer Identification Number (EIN):
271396570
Plan Year:
2023
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000005081 DENTAL SPECIALIST OF NORTH FLORIDA LLC EXPIRED 2010-01-15 2015-12-31 - 3 CYPRESS BRANCH WAY, SUITE 107, PALM COAST, FL, 32164

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-02 700 Plantation Island Drive, S, SUITE 102, ST AUGUSTINE, FL 32080 -
CHANGE OF PRINCIPAL ADDRESS 2021-01-28 124 INLET DR, SAINT AUGUSTINE, FL 32080 -
CHANGE OF MAILING ADDRESS 2021-01-28 124 INLET DR, SAINT AUGUSTINE, FL 32080 -

Documents

Name Date
ANNUAL REPORT 2025-01-02
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-03-22

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Date of last update: 03 Jul 2025

Sources: Florida Department of State