| Entity Name: | VERNON SMITH DMD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Jan 2024 (a year ago) |
| Document Number: | L16000127089 |
| FEI/EIN Number | 81-2803057 |
| Address: | 4145 US HWY 98 N, LAKELAND, FL 33809 |
| Mail Address: | 4145 US HWY 98 N, LAKELAND, FL 33809 |
| ZIP code: | 33809 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629523626 | 2016-08-19 | 2016-08-19 | 4145 US HIGHWAY 98 N, LAKELAND, FL, 338093830, US | 4145 US HIGHWAY 98 N, LAKELAND, FL, 338093830, US | |||||||||||||||||||
|
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| Phone | +1 863-858-3891 |
| Fax | 8638595301 |
Authorized person
| Name | VERNON STEPHEN SMITH |
| Role | DENTIST |
| Phone | 8638583891 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19861 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH, VERNON | Agent | 10912 bluestem grass ave, tampa, FL 33610 |
| Name | Role | Address |
|---|---|---|
| Smith, VERNON | President | 10912 bluestem grass ave, tampa, FL 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-01-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-11 | SMITH, VERNON | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-11 | 10912 bluestem grass ave, tampa, FL 33610 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-01-11 |
| ANNUAL REPORT | 2020-02-15 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-04-27 |
| Florida Limited Liability | 2016-07-05 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
