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SAGE DENTAL OF CENTRAL BOYNTON BEACH, PLLC

Company Details

Entity Name: SAGE DENTAL OF CENTRAL BOYNTON BEACH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Jul 2014 (11 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Dec 2019 (5 years ago)
Document Number: L14000110055
FEI/EIN Number 47-1351201
Address: 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487
Mail Address: 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881094381 2014-09-03 2017-02-24 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 33487, US 1790 N CONGRESS AVE, SUITE 100, BOYNTON BEACH, FL, 334268265, US

Contacts

Phone +1 561-999-9650
Fax 5614318169
Phone +1 561-572-3555

Authorized person

Name ANTONIO CRUZ
Role CHIEF DENTAL DIRECTOR
Phone 5619999650

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
CT Corporation Agent 1200 S. Pine Island Road, Suite 250, Plantation, FL 33324

President

Name Role Address
ROARK, CINDY President 6600 Congress Avenue, Suite 150 Boca Raton, FL 33487

Other

Name Role
SAGE DENTAL GROUP OF FLORIDA, PLLC Other

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000030947 GENTLE DENTAL EXPIRED 2015-03-25 2020-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487
G15000030951 SAGE DENTAL ACTIVE 2015-03-25 2025-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-03 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487 No data
CHANGE OF MAILING ADDRESS 2023-02-03 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-02 1200 S. Pine Island Road, Suite 250, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2021-04-02 CT Corporation No data
LC AMENDMENT 2019-12-17 No data No data
LC NAME CHANGE 2015-07-14 SAGE DENTAL OF CENTRAL BOYNTON BEACH, PLLC No data
LC NAME CHANGE 2015-06-01 SAGE DENTAL GROUP OF CENTRL BOYNTON BEACH, PLLC No data
LC NAME CHANGE 2014-07-15 GENTLE DENTAL GROUP OF CENTRAL BOYNTON BEACH, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-06-28
LC Amendment 2019-12-17
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-02-25

Date of last update: 21 Jan 2025

Sources: Florida Department of State