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ERIN A. SHIVELER, DMD PLLC

Company Details

Entity Name: ERIN A. SHIVELER, DMD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Feb 2016 (9 years ago)
Document Number: L16000037384
FEI/EIN Number 81-1508460
Address: 2027 Thomasville Road, Ste 101, TALLAHASSEE, FL, 32308, US
Mail Address: 2027 THOMASVILLE ROAD, STE 101, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245687060 2016-05-22 2016-05-22 2027 THOMASVILLE RD STE 101, TALLAHASSEE, FL, 323080752, US 2027 THOMASVILLE RD STE 101, TALLAHASSEE, FL, 323080752, US

Contacts

Phone +1 850-385-0231
Fax 8503859230

Authorized person

Name DR. ERIN SHIVELER
Role DENTIST/OWNER
Phone 8503214964

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN19010
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2023 811508460 2024-07-15 ERIN A. SHIVELER, DMD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2023 811508460 2024-07-15 ERIN A. SHIVELER, DMD, PLLC 9
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2023 811508460 2024-07-15 ERIN A. SHIVELER, DMD, PLLC 9
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2022 811508460 2023-07-13 ERIN A. SHIVELER, DMD, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2021 811508460 2022-10-01 ERIN A. SHIVELER, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2020 811508460 2021-07-22 ERIN A. SHIVELER, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2019 811508460 2020-08-06 ERIN A. SHIVELER, DMD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2018 811508460 2019-08-19 ERIN A. SHIVELER, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308
ERIN A. SHIVELER, DMD, PLLC 401(K) PROFIT SHARING PLAN 2017 811508460 2018-09-17 ERIN A. SHIVELER, DMD, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8503850231
Plan sponsor’s address 2027 THOMASVILLE ROAD, SUITE 101, TALLAHASSEE, FL, 32308

Agent

Name Role Address
SHIVELER ERIN A Agent 2027 Thomasville Road, Ste 101, TALLAHASSEE, FL, 32308

Authorized Member

Name Role Address
SHIVELER ERIN A Authorized Member 3840 East Millers Bridge Road, TALLAHASSEE, FL, 32312

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-02-14 2027 Thomasville Road, Ste 101, TALLAHASSEE, FL 32308 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-14 2027 Thomasville Road, Ste 101, TALLAHASSEE, FL 32308 No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-15 2027 Thomasville Road, Ste 101, TALLAHASSEE, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-01-12
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-29
ANNUAL REPORT 2017-01-15
Florida Limited Liability 2016-02-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State