| Entity Name: | PAUL PIMENTEL DDS HOLDINGS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2015 (10 years ago) |
| Document Number: | L15000091766 |
| FEI/EIN Number | 474665148 |
| Address: | 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL, 34787, US |
| Mail Address: | 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679959142 | 2015-08-06 | 2015-08-06 | 4910 E SILVER SPRINGS BLVD, OCALA, FL, 34470, US | 4910 E SILVER SPRINGS BLVD, OCALA, FL, 34470, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 352-229-8583 |
Authorized person
| Name | KIM VAN CAMP |
| Role | PROVIDER RELATIONS SPECIALIST |
| Phone | 3154546000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17338 |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role |
|---|---|
| PIMENDENT, PA | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000068641 | ASPEN DENTAL | ACTIVE | 2023-06-05 | 2028-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G22000088276 | ASPEN DENTAL | ACTIVE | 2022-07-26 | 2027-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, FL, 13057 |
| G18000087838 | ASPEN DENTAL | EXPIRED | 2018-08-08 | 2023-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G18000049419 | ASPEN DENTAL | ACTIVE | 2018-04-18 | 2028-12-31 | No data | C/O ADMI, 281 SANDERS CREEK PARKWAY, E. SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-06-04 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-04 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-15 | 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-15 | 15327 JOHNS LAKE POINTE BLVD, WINTER GARDEN, FL 34787 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-06-04 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
