| Entity Name: | UNITED DENTAL SPECIALISTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2014 (10 years ago) |
| Document Number: | L14000124292 |
| FEI/EIN Number | 47-1545579 |
| Address: | 10305 NW 41ST STREET, STE 207, DORAL, FL, 33178 |
| Mail Address: | 10305 NW 41ST STREET, STE 207, DORAL, FL, 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922489921 | 2015-06-15 | 2015-06-15 | 10305 NW 41ST ST, STE: 207, DORAL, FL, 331782396, US | 10305 NW 41ST ST, STE: 207, DORAL, FL, 331782396, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-593-6520 |
Authorized person
| Name | DR. DAVID A BENNETT |
| Role | CEO |
| Phone | 3055936520 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN0010709 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LM CORPORATE SERVICES | Agent | 2300 W 84th St Suite 311, Hialeah, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| BENNETT DAVID A | Manager | 10305 NW 41ST STREET, STE 207, DORAL, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-10 | LM CORPORATE SERVICES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-10 | 2300 W 84th St Suite 311, Hialeah, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
