| Entity Name: | R. DUSTIN DIXON DMD HOLDINGS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2014 (10 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 16 Aug 2024 (5 months ago) |
| Document Number: | L14000134170 |
| FEI/EIN Number | 47-1706456 |
| Address: | 7012 HAWKS HARBOR CIRCLE, BRADENTON, FL 34207 |
| Mail Address: | 7012 HAWKS HARBOR CIRCLE, BRADENTON, FL 34207 |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275930729 | 2014-11-28 | 2014-12-24 | 12019 GRANITE WOODS LOOP, VENICE, FL, 342924138, US | 1602 CORTEZ RD W, BRADENTON, FL, 342071440, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 315-454-6000 |
Authorized person
| Name | MIKA WEISS |
| Role | PROVIDER RELATIONS |
| Phone | 3154546000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19229 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DIXON, RAYMOND D | Manager | 7012 HAWKS HARBOR CIRCLE, BRADENTON, FL 34207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000070179 | ASPEN DENTAL | ACTIVE | 2024-06-05 | 2029-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G21000126475 | ASPEN DENTAL | ACTIVE | 2021-09-22 | 2026-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G16000022103 | ASPEN DENTAL | EXPIRED | 2016-03-01 | 2021-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-16 | 1200 SOUTH PINE ISLAND ROAD, Suite 150, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2024-08-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-08-18 | 7012 HAWKS HARBOR CIRCLE, BRADENTON, FL 34207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-18 | 7012 HAWKS HARBOR CIRCLE, BRADENTON, FL 34207 | No data |
| LC AMENDMENT | 2015-08-18 | No data | No data |
| LC STMNT CORR/NC | 2014-11-21 | R. DUSTIN DIXON DMD HOLDINGS PLLC | No data |
| REGISTERED AGENT NAME CHANGED | 2002-08-16 | C T CORPORATION SYSTEM | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-08-16 |
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-02-20 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
