| Entity Name: | MASTER DENTAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2014 (10 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 16 Dec 2014 (10 years ago) |
| Document Number: | L14000124287 |
| FEI/EIN Number | 47-1534488 |
| Address: | 11140 W. Colonial Drive, Ocoee, FL, 34761, US |
| Mail Address: | 11140 W. Colonial Drive, Ocoee, FL, 34761, US |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780329342 | 2022-04-28 | 2022-04-28 | 11140 W COLONIAL DR STE 7, OCOEE, FL, 347613300, US | 11140 W COLONIAL DR STE 7, OCOEE, FL, 347613300, US | |||||||||||||||||||||
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| Phone | +1 407-720-9944 |
Authorized person
| Name | MR. ORRETT G. KONG |
| Role | GENERAL MANAGER |
| Phone | 4077209944 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MASTER DENTAL ASSOCIATES LLC 401K PLAN | 2021 | 471534488 | 2022-10-14 | MASTER DENTAL ASSOCIATES LLC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | ORRETT KONG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3014666785 |
| Plan sponsor’s address | 11140 W COLONIAL DRIVE, SUITE 7, OCOEE, FL, 34761 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-22 |
| Name of individual signing | ORRETT KONG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| RESILIENT HEALTHCARE MANAGEMENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Rose Kong Camille JDr. | Auth | 11140 W. Colonial Drive, Ocoee, FL, 34761 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000102502 | MASTER DENTAL & ORTHODONTICS | EXPIRED | 2018-09-17 | 2023-12-31 | No data | 6646 OLD WINTER GARDEN ROAD, ORLANDO, FL, 32835 |
| G14000101313 | MASTER FAMILY DENTAL | EXPIRED | 2014-10-05 | 2019-12-31 | No data | 6646 OLD WINTER GARDEN ROAD, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | RESILIENT HEALTHCARE MANAGEMENT LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-08 | 11140 W. Colonial Drive, Suite 7, Ocoee, FL 34761 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-08 | 11140 W. Colonial Drive, Suite 7, Ocoee, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-08 | 11140 W. Colonial Drive, Suite 7, Ocoee, FL 34761 | No data |
| LC AMENDMENT AND NAME CHANGE | 2014-12-16 | MASTER DENTAL ASSOCIATES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
