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JASON KENNON DMD LLC

Company Details

Entity Name: JASON KENNON DMD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Dec 2010 (14 years ago)
Document Number: L10000128414
FEI/EIN Number 273978518
Address: 2309 SAINT ANDREWS BLVD, NUM B, PANAMA CITY, FL, 32405
Mail Address: 2309 SAINT ANDREWS BLVD, NUM B, PANAMA CITY, FL, 32405
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568764769 2010-11-22 2010-12-22 2309 SAINT ANDREWS BLVD, PANAMA CITY, FL, 324052171, US 2309 SAINT ANDREWS BLVD, PANAMA CITY, FL, 324052171, US

Contacts

Phone +1 850-769-1034
Fax 8507696898

Authorized person

Name DR. JASON BRANCH KENNON
Role PRESIDENT
Phone 8507691034

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 15995
State FL
Is Primary Yes

Agent

Name Role Address
KENNON JASON D Agent 2309 SAINT ANDREWS BLVD, PANAMA CITY, FL, 32405

Manager

Name Role Address
KENNON JASON D Manager 2309 SAINT ANDREWS BLVD NUM B, PANAMA CITY, FL, 32405

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000115226 KENNON DENTAL ASSOCIATES LLC EXPIRED 2010-12-16 2015-12-31 No data 2309 SAINT ANDREWS BLVD NUM B, PANAMA CITY, FL, 32405

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State