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KIDS SMILES DENTAL, PLLC - Florida Company Profile

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Company Details

Entity Name: KIDS SMILES DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Dec 2015 (10 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 21 Jan 2016 (10 years ago)
Document Number: L15000208251
FEI/EIN Number 81-1628383
Address: 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612-1820, US
Mail Address: 1773 WEST FLETCHER AVENUE, TAMPA, FL, 33612-1820, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Sierra Frank JDr. Manager 1773 WEST FLETCHER AVENUE, TAMPA, FL, 336121820

National Provider Identifier

NPI Number:
1033661848

Authorized Person:

Name:
MRS. NEELY JORDAN
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-04-16 Blue Wave Dental Group PLLC -
REGISTERED AGENT ADDRESS CHANGED 2018-04-16 1773 W Fletcher Avenue, Tampa, FL 33612 -
LC AMENDMENT AND NAME CHANGE 2016-01-21 KIDS SMILES DENTAL, PLLC -
CHANGE OF PRINCIPAL ADDRESS 2016-01-21 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 -
CHANGE OF MAILING ADDRESS 2016-01-21 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 -

Documents

Name Date
ANNUAL REPORT 2024-07-15
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-04-28
LC Amendment and Name Change 2016-01-21

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Date of last update: 01 Aug 2025

Sources: Florida Department of State