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DR BEN WHITE DDS, LLC

Company Details

Entity Name: DR BEN WHITE DDS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 May 2016 (9 years ago)
Document Number: L16000099955
FEI/EIN Number 81-2787801
Address: 1108 NORTH 12TH AVE, SUITE C, PENSACOLA, FL 32501
Mail Address: 1108 N. 12th Ave. Ste. C, Pensacola, FL 32501
ZIP code: 32501
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609621788 2024-04-22 2024-04-22 1108 N 12TH AVE STE C, PENSACOLA, FL, 325013308, US 1108 N 12TH AVE STE C, PENSACOLA, FL, 325013308, US

Contacts

Phone +1 850-912-8877

Authorized person

Name DR. BEN WHITE
Role DENTIST
Phone 8509128877

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
WHITE, BENJAMIN C Agent 402 Navarre St., GULF BREEZE, FL 32561

Authorized Representative

Name Role Address
WHITE, BENJAMIN C Authorized Representative 402 Navarre St., GULF BREEZE, FL 32561

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-02-13 1108 NORTH 12TH AVE, SUITE C, PENSACOLA, FL 32501 No data
REGISTERED AGENT ADDRESS CHANGED 2017-02-13 402 Navarre St., GULF BREEZE, FL 32561 No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-04-12
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-02-13
Florida Limited Liability 2016-05-23

Date of last update: 20 Jan 2025

Sources: Florida Department of State