| Entity Name: | TALLAHASSEE PEDIATRIC DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Nov 2015 (9 years ago) |
| Document Number: | L15000188040 |
| FEI/EIN Number | 47-5642659 |
| Address: | 2304 Killearn Center Blvd, TALLAHASSEE, FL, 32309, US |
| Mail Address: | 2304 Killearn Center Blvd, TALLAHASSEE, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336697226 | 2016-09-20 | 2016-09-20 | 2304 KILLEARN CENTER BLVD, TALLAHASSEE, FL, 323093580, US | 2304 KILLEARN CENTER BLVD, TALLAHASSEE, FL, 323093580, US | |||||||||||||||
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| Phone | +1 850-666-5365 |
| Fax | 8506665365 |
Authorized person
| Name | DR. SHAWN HANWAY |
| Role | OWNER/PEDIATRIC DENTIST |
| Phone | 8505970573 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TALLAHASSEE PEDIATRIC DENTISTRY, PLLC 401K PROFIT SHARING PLAN | 2023 | 475642659 | 2024-07-15 | TALLAHASSEE PEDIATRIC DENTISTRY, PLLC | 16 | |||||||||||||
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| TALLAHASSEE PEDIATRIC DENTISTRY, PLLC 401K PROFIT SHARING PLAN | 2022 | 475642659 | 2023-07-13 | TALLAHASSEE PEDIATRIC DENTISTRY, PLLC | 13 | |||||||||||||
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| TALLAHASSEE PEDIATRIC DENTISTRY, PLLC 401K PROFIT SHARING PLAN | 2021 | 475642659 | 2022-10-01 | TALLAHASSEE PEDIATRIC DENTISTRY, PLLC | 13 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HANWAY REID B | Agent | 2304 Killearn Center Blvd, TALLAHASSEE, FL, 32309 |
| Name | Role | Address |
|---|---|---|
| HANWAY SHAWN STOTT DMD | Manager | 2304 Killearn Center Blvd, TALLAHASSEE, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-04 | 2304 Killearn Center Blvd, TALLAHASSEE, FL 32309 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-31 | 2304 Killearn Center Blvd, TALLAHASSEE, FL 32309 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-31 | 2304 Killearn Center Blvd, TALLAHASSEE, FL 32309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-05-31 |
| Florida Limited Liability | 2015-11-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
