| Entity Name: | HEALING SMILES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 May 2015 (10 years ago) |
| Document Number: | L15000082503 |
| FEI/EIN Number | 47-4011990 |
| Address: | 249 PALM BAY RD. NE, WEST MELBOURNE, FL 32904 |
| Mail Address: | 249 PALM BAY RD. NE, WEST MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598143034 | 2015-05-18 | 2015-05-18 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 249 PALM BAY RD NE, WEST MELBOURNE, FL, 329048602, US | |||||||||||||||||||||
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| Phone | +1 321-282-5220 |
| Fax | 3219533617 |
| Phone | +1 321-482-5220 |
Authorized person
| Name | KIM VAN CAMP |
| Role | PROVIDER RELATIONS SPECIALST |
| Phone | 3154546000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN20443 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Raymond-Marius, Marguency | Agent | 4432 TENNYSON DR, Rockledge, FL 32955 |
| Name | Role | Address |
|---|---|---|
| MARIUS, JEAN MARY ROBERT, DDS | Manager | 249 PALM BAY RD. NE, WEST MELBOURNE, FL 32904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000097663 | ASPEN DENTAL | ACTIVE | 2021-07-26 | 2026-12-31 | No data | 281 SANDERS CREEK PARKWAY, SYRACUSE, NY, 13057 |
| G19000085140 | ASPEN DENTAL | EXPIRED | 2019-08-12 | 2024-12-31 | No data | 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-17 | 4432 TENNYSON DR, Rockledge, FL 32955 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-17 | 3910 Waterford Dr, Rockledge, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-17 | Raymond-Marius, Marguency | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-17 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-05-14 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-17 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-04-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2615367101 | 2020-04-11 | 0455 | PPP | 249 Palm Bay Road, MELBOURNE, FL, 32904-8602 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 20 Feb 2025
Sources: Florida Department of State
