| Entity Name: | TOTAL DENTAL CENTERS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Oct 2010 (14 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 20 Oct 2015 (9 years ago) |
| Document Number: | L10000111423 |
| FEI/EIN Number | 80-0656999 |
| Address: | 12169 Pembroke Road, Pembroke Pines, FL 33025 |
| Mail Address: | 12169 Pembroke Road, Pembroke Pines, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356892467 | 2016-10-24 | 2016-10-24 | 14201 W SUNRISE BLVD STE 207, SUNRISE, FL, 333233207, US | 12169 PEMBROKE RD, PEMBROKE PINES, FL, 330251727, US | |||||||||||||||||||
|
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| Phone | +1 954-505-5000 |
| Phone | +1 954-505-3269 |
Authorized person
| Name | MR. DANIEL RODRIGUEZ |
| Role | ADMINSTRATOR |
| Phone | 9545053269 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN21583 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rodriguez, Daniel | Agent | 12169 Pembroke Road, Pembroke Pines, FL 33025 |
| Name | Role | Address |
|---|---|---|
| SMITH, KERRY D, D.M.D. | Manager | 12169 Pembroke Road, Pembroke Pines, FL 33025 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, DANIEL | Authorized Member | 1920 nw 182nd ter, Pembroke Pines, FL 33029 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000003058 | CLEAR SMILES DENTAL | ACTIVE | 2023-01-07 | 2028-12-31 | No data | 12169 PEMBROKE ROAD, PEMBROKE PINES, FL, 33025 |
| G22000018472 | CLEAR SMILES DENTAL | ACTIVE | 2022-02-14 | 2027-12-31 | No data | 1300 CONCORDE TERRACE, 210, SUNRISE, FL, 33323 |
| G16000072431 | AMICUS DENTAL CENTERS | ACTIVE | 2016-07-21 | 2026-12-31 | No data | 1300 CONCORD TERRACE, SUITE 210, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-21 | Rodriguez, Daniel | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-07 | 12169 Pembroke Road, Pembroke Pines, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-07 | 12169 Pembroke Road, Pembroke Pines, FL 33025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-07 | 12169 Pembroke Road, Pembroke Pines, FL 33025 | No data |
| LC NAME CHANGE | 2015-10-20 | TOTAL DENTAL CENTERS, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-06-07 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-27 |
| LC Name Change | 2015-10-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
