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ATA DENTAL DESIGN LLC

Company Details

Entity Name: ATA DENTAL DESIGN LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Dec 2012 (12 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 14 Dec 2015 (9 years ago)
Document Number: L12000150488
FEI/EIN Number 46-1485703
Address: 13512 S. John Young Parkway, ORLANDO, FL, 32837, US
Mail Address: 13512 S. John Young Parkway, ORLANDO, FL, 32837, US
ZIP code: 32837
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417387556 2013-11-26 2023-07-26 13512 S. JOHN YOUNG PKWY, ORLANDO, FL, 328377659, US 13512 S. JOHN YOUNG PKWY, ORLANDO, FL, 328377659, US

Contacts

Phone +1 407-857-6501
Fax 8636386935

Authorized person

Name DR. JOSEPH ADAM ATA
Role DENTIST/OWNER
Phone 4078576501

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN18559
State FL
Is Primary Yes

Agent

Name Role Address
Varga Renee Agent 501 S New York Ave, Winter Park, FL, 32789

Managing Member

Name Role Address
ATA JILL E Managing Member 13512 S. John Young Parkway, ORLANDO, FL, 32837
ATA JOSEPH A Managing Member 13512 S. John Young Parkway, ORLANDO, FL, 32837

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000061310 ATA DENTAL ACTIVE 2021-05-04 2026-12-31 No data 13512 S. JOHN YOUNG PKWY, SUITE 100, ORLANDO, FL, 32837
G21000061312 A.T.A DENTAL ACTIVE 2021-05-04 2026-12-31 No data 13512 S. JOHN YOUNG PKWY, SUITE 100, ORLANDO, FL, 32837
G12000116188 ATA DENTAL DESIGN ACTIVE 2012-12-04 2027-12-31 No data 13512 S. JOHN YOUNG PKWY, ORLANDO, FL, 32837

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-27 Varga , Renee No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-27 501 S New York Ave, Suite 100, Winter Park, FL 32789 No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-13 13512 S. John Young Parkway, Suite 100, ORLANDO, FL 32837 No data
CHANGE OF MAILING ADDRESS 2016-04-13 13512 S. John Young Parkway, Suite 100, ORLANDO, FL 32837 No data
LC STMNT OF RA/RO CHG 2015-12-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-13
CORLCRACHG 2015-12-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State