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WESTBERRY DENTAL, LLC

Company Details

Entity Name: WESTBERRY DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Dec 2012 (12 years ago)
Document Number: L12000157780
FEI/EIN Number 46-1626339
Address: 3120 SOUTH RIDGEWOOD AVE., SOUTH DAYTONA, FL, 32119
Mail Address: 3120 SOUTH RIDGEWOOD AVE., SOUTH DAYTONA, FL, 32119
ZIP code: 32119
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932595998 2015-04-07 2015-04-07 3120 S RIDGEWOOD AVE, SOUTH DAYTONA, FL, 321193548, US 3120 S RIDGEWOOD AVE, SOUTH DAYTONA, FL, 321193548, US

Contacts

Phone +1 386-761-8822
Fax 3867618842

Authorized person

Name MS. RHONDA KEEN
Role OFFICE MANAGER
Phone 3867618822

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 9504
State FL
Is Primary Yes

Agent

Name Role Address
WESTBERRY RICHARD S Agent 3120 SOUTH RIDGEWOOD AVE., SOUTH DAYTONA, FL, 32119

Manager

Name Role Address
WESTBERRY RICHARD S Manager 3120 SOUTH RIDGEWOOD AVE., SOUTH DAYTONA, FL, 32119

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-11
ANNUAL REPORT 2015-04-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State