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  5. EDGEWATER ENDODONTICS, LLC

EDGEWATER ENDODONTICS, LLC

Company Details

Entity Name: EDGEWATER ENDODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Oct 2010 (14 years ago)
Document Number: L10000110200
FEI/EIN Number 273756485
Address: 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606, US
Mail Address: 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606, US
ZIP code: 34606
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841560265 2012-01-02 2012-01-02 5305 SPRING HILL DR, SPRING HILL, FL, 346064558, US 5305 SPRING HILL DR, SPRING HILL, FL, 346064558, US

Contacts
Phone +1 352-688-7858
Fax 3526887816

Authorized person
Name HILDE RIORDAN
Role OFFICE MANAGER
Phone 3526887858

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
License Number DN17788
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2023 273756485 2024-10-09 EDGEWATER ENDODONTICS LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2022 273756485 2023-10-03 EDGEWATER ENDODONTICS LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2021 273756485 2022-09-29 EDGEWATER ENDODONTICS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2020 273756485 2021-10-11 EDGEWATER ENDODONTICS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2019 273756485 2020-09-14 EDGEWATER ENDODONTICS LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2018 273756485 2019-09-25 EDGEWATER ENDODONTICS LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2017 273756485 2018-10-12 EDGEWATER ENDODONTICS LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature
EDGEWATER ENDODONTICS LLC 401(K) PLAN 2016 273756485 2017-12-19 EDGEWATER ENDODONTICS LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 3526887858
Plan sponsor’s address 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Signature of
Role Plan administrator
Date 2017-12-19
Name of individual signing ROBERT HEYDRICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HEYDRICH ROBERT Agent 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Owne

Name Role Address
Heydrich Robert Owne 5305 SPRING HILL DRIVE, SPRING HILL, FL, 34606

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-01-20 HEYDRICH, ROBERT No data

Documents

Name Date
ANNUAL REPORT 2024-04-06
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-24
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-12
AMENDED ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2016-01-10

Related by officers

HEYDRICH ROBERT

ROBERT HEYDRICH, DMD, PA

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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