| Entity Name: | PREMIER DENTAL TEAM, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2014 (11 years ago) |
| Document Number: | L14000001257 |
| FEI/EIN Number | 46-4456265 |
| Address: | 3720 NW 43rd St, Suite 102, GAINESVILLE, FL, 32606, US |
| Mail Address: | 3720 NW 43rd St,, Gainesville, FL, 32606, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265855746 | 2014-02-04 | 2014-02-04 | 3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL, 326066190, US | 3720 NW 43RD ST, SUITE 102, GAINESVILLE, FL, 326066190, US | |||||||||||||||||
|
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| Phone | +1 352-372-3600 |
Authorized person
| Name | ADA YOJANA PARRA |
| Role | MANAGER |
| Phone | 3523723600 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN19866 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Parra Ada YDr. | Agent | 3720 NW 43rd Street, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| PARRA ADA YDr. | Manager | 3720 NW 43rd St, GAINESVILLE, FL, 32606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000007135 | PREMIER DENTAL TEAM | EXPIRED | 2014-01-21 | 2019-12-31 | No data | 8847 SW 80TH AVENUE, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-21 | 3720 NW 43rd St, Suite 102, GAINESVILLE, FL 32606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-16 | 3720 NW 43rd Street, 102, GAINESVILLE, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-11 | 3720 NW 43rd St, Suite 102, GAINESVILLE, FL 32606 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-11 | Parra, Ada Y, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-03-24 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-08 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
