| Entity Name: | CLEARWHITE DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
CLEARWHITE DENTAL, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Feb 2014 (11 years ago) |
| Date of dissolution: | 11 May 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 May 2019 (6 years ago) |
| Document Number: | L14000030050 |
| FEI/EIN Number |
46-4865576
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4505 W Beach Park Dr, Tampa, FL 33609 |
| Mail Address: | 4505 W Beach Park Dr, Tampa, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225458763 | 2014-04-23 | 2023-03-07 | 1831 NORTH BELCHER ROAD, SUITE F-3, CLEARWATER, FL, 337651453, US | 1831 N BELCHER RD, SUITE F-3, CLEARWATER, FL, 337651449, US | |||||||||||||||||||||||||
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| Phone | +1 727-791-8823 |
| Fax | 7277254534 |
Authorized person
| Name | DR. MICHAEL BRADLEY JERGINS |
| Role | OWNER/OPERATOR |
| Phone | 7277918823 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN15034 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE DENTAL LICENSE |
| Number | DN15034 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JERGINS, M. BRADLEY | Agent | 4505 W Beach Park Dr, Tampa, FL 33609 |
| JERGINS, M. BRADLEY | Managing Member | 4505 W Beach Park Dr, Tampa, FL 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-03 | 4505 W Beach Park Dr, Tampa, FL 33609 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-03 | 4505 W Beach Park Dr, Tampa, FL 33609 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-03 | 4505 W Beach Park Dr, Tampa, FL 33609 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-11 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-27 |
| Florida Limited Liability | 2014-02-18 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
