| Entity Name: | PREMIERE DENTAL CARE, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2010 (14 years ago) |
| Document Number: | L10000127993 |
| FEI/EIN Number | 274258449 |
| Address: | 600 SOUTH DIXIE HIGHWAY, SUITE NO. 105, WEST PALM BEACH, FL, 33401 |
| Mail Address: | 600 SOUTH DIXIE HIGHWAY, SUITE NO. 105, WEST PALM BEACH, FL, 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639475833 | 2011-02-04 | 2011-05-19 | 600 S DIXIE HIGHWAY, SUITE 105, WEST PALM BEACH, FL, 33401, US | 600 SOUTH DIXIE HIGHWAY, #105, WEST PALM BEACH, FL, 33401, US | |||||||||||||||||||||||||
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| Phone | +1 561-820-8898 |
| Fax | 5613661788 |
Authorized person
| Name | DR. TIN WAI HUI |
| Role | OWNER |
| Phone | 5618208898 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN12723 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 071203500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHOCHET RANDALL E | Agent | 4897 JOG ROAD, GREENACRES, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| SUNRISE DENTAL, PA | Managing Member | 313 NORTHEAST 211 TERRACE, MIAMI, FL, 33179 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
