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  5. PEDIATRIC DENTISTRY OF LAKELAND PLLC

PEDIATRIC DENTISTRY OF LAKELAND PLLC

Company Details

Entity Name: PEDIATRIC DENTISTRY OF LAKELAND PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Mar 2012 (13 years ago)
Document Number: L12000034408
FEI/EIN Number 45-5245077
Address: 5710 US HIGHWAY 98 NORTH, LAKELAND, FL, 33809, US
Mail Address: 5710 US HIGHWAY 98 NORTH, LAKELAND, FL, 33809, US
ZIP code: 33809
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174887095 2012-06-25 2012-06-25 5710 US HIGHWAY 98 N, LAKELAND, FL, 338093108, US 5710 US HIGHWAY 98 N, LAKELAND, FL, 338093108, US

Contacts
Phone +1 863-640-2150

Authorized person
Name DR. ERIN SMITH BERLING
Role OWNER
Phone 8636402150

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN19011
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2023 455245077 2024-06-03 PEDIATRIC DENTISTRY OF LAKELAND PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2022 455245077 2023-09-28 PEDIATRIC DENTISTRY OF LAKELAND PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2021 455245077 2022-09-27 PEDIATRIC DENTISTRY OF LAKELAND PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2020 455245077 2021-09-28 PEDIATRIC DENTISTRY OF LAKELAND PLLC 10
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2020 455245077 2021-11-30 PEDIATRIC DENTISTRY OF LAKELAND PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2019 455245077 2020-07-16 PEDIATRIC DENTISTRY OF LAKELAND PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2018 455245077 2019-09-04 PEDIATRIC DENTISTRY OF LAKELAND PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2017 455245077 2018-09-06 PEDIATRIC DENTISTRY OF LAKELAND PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2016 455245077 2017-09-06 PEDIATRIC DENTISTRY OF LAKELAND PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2017-09-06
Name of individual signing ERIN SMITH BERLING, D.M.D.
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTISTRY OF LAKELAND RETIREMENT PLAN & TRUST 2015 455245077 2016-09-19 PEDIATRIC DENTISTRY OF LAKELAND PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8636402150
Plan sponsor’s address 5710 US HWY 98 N, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing ERIN SMITH BERLING, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BERLING ERIN S Agent 5710 US HIGHWAY 98 NORTH, LAKELAND, FL, 33809

Manager

Name Role Address
BERLING ERIN S Manager 5710 US HIGHWAY 98 NORTH, LAKELAND, FL, 33809
BERLING EARL R Manager 5710 US HIGHWAY 98 NORTH, LAKELAND, FL, 33809

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-04-22

Related by officers

BERLING ERIN S

HWY 98 N, LLC

BERLING EARL R

DOCTOR SOLUTIONS, LLC HWY 98 N, 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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