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CARLSON DENTAL GROUP PROVIDERS, LLC. - Florida Company Profile

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Company Details

Entity Name: CARLSON DENTAL GROUP PROVIDERS, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CARLSON DENTAL GROUP PROVIDERS, LLC. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Sep 2010 (15 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L10000092557
FEI/EIN Number 273385367

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13241 BARTRAM PARK BLVD, BLDG 1700, JACKSONVILLE, FL, 32258, US
Mail Address: 13241 BARTRAM PARK BLVD, BLDG 1700, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GLAZIER, GLAZIER & DIETRICH, P.A. Agent -
CARLSON RICHARD D Manager 13241 BARTRAM PARK BLVD, JACKSONVILLE, FL, 32258

National Provider Identifier

NPI Number:
1265867691

Authorized Person:

Name:
DR. RICHARD DEAN CARLSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9042624012

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 8833 PERIMETER PARK BLVD., SUITE 1002, JACKSONVILLE, FL 32216 -
CHANGE OF PRINCIPAL ADDRESS 2016-04-28 13241 BARTRAM PARK BLVD, BLDG 1700, JACKSONVILLE, FL 32258 -
CHANGE OF MAILING ADDRESS 2016-04-28 13241 BARTRAM PARK BLVD, BLDG 1700, JACKSONVILLE, FL 32258 -
LC NAME CHANGE 2011-01-26 CARLSON DENTAL GROUP PROVIDERS, LLC. -

Documents

Name Date
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-01-20
ANNUAL REPORT 2013-04-29

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Date of last update: 03 Jun 2025

Sources: Florida Department of State