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  5. BELLEAIR ORAL SURGERY & IMPLANTS PLLC

BELLEAIR ORAL SURGERY & IMPLANTS PLLC

Company Details

Entity Name: BELLEAIR ORAL SURGERY & IMPLANTS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Oct 2010 (14 years ago)
Document Number: L10000108365
FEI/EIN Number 273665271
Address: 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL, 33770, US
Mail Address: 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL, 33770, US
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720380207 2010-12-03 2014-03-31 100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL, 337701778, US 100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL, 337701778, US

Contacts
Phone +1 727-581-3300
Fax 7275813302

Authorized person
Name DR. RALPH MARK EICHSTAEDT
Role PRESIDENT/ORAL SURGEON
Phone 7275813300

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DN15139
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2023 273665271 2024-07-31 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2022 273665271 2023-10-12 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2021 273665271 2022-09-21 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2020 273665271 2021-08-03 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2019 273665271 2020-07-30 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2018 273665271 2019-05-30 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2017 273665271 2018-07-27 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2016 273665271 2017-07-11 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 716 INDIAN ROCKS RD. N, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2015 273665271 2016-07-18 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 100 INDIAN ROCKS RD N SUITE 12, BELLEAIR BLUFFS, FL, 33770
BELLEAIR ORAL SURGERY 401(K) PROFIT SHARING PLAN 2014 273665271 2015-07-22 BELLEAIR ORAL SURGERY & IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 7275813300
Plan sponsor’s address 100 INDIAN ROCKS RD N SUITE 12, BELLEAIR BLUFFS, FL, 33770

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing RALPH EICHSTAEDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing RALPH EICHSTAEDT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EICHSTAEDT RALPH Agent 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL, 33770

Managing Member

Name Role Address
EICHSTAEDT RALPH Managing Member 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL, 33770

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-28 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL 33770 No data
CHANGE OF MAILING ADDRESS 2016-04-28 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL 33770 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-28 716 INDIAN ROCKS ROAD N, BELLEAIR BLUFFS, FL 33770 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-06-07
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-06-13
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-23

Related by officers

EICHSTAEDT RALPH

716 INDIAN ROCKS RD NORTH, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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