| Entity Name: | PEDIATRIC DENTISTRY OF LUTZ, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Aug 2016 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 12 Sep 2016 (8 years ago) |
| Document Number: | L16000161994 |
| FEI/EIN Number | 81-3987467 |
| Address: | 4675 Van Dyke Rd, LUTZ, FL, 33558, US |
| Mail Address: | 4675 Van Dyke Rd, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497454946 | 2023-02-23 | 2023-03-10 | 4675 VAN DYKE RD, LUTZ, FL, 335584880, US | 4675 VAN DYKE RD, LUTZ, FL, 335584880, US | |||||||||||||||
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| Phone | +1 813-591-2200 |
| Fax | 8133748329 |
Authorized person
| Name | MRS. SASHA MARTINEZ |
| Role | OFFICE MANAGER |
| Phone | 8135912200 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LASANTA DENISSE | Agent | 4675 Van Dyke Rd, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| LASANTA DENISSE | Manager | 4675 Van Dyke Dr., LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000093011 | DENTAL STUDIO 4 KIDS | ACTIVE | 2017-08-22 | 2027-12-31 | No data | 4675 VAN DYKE RD, LUTZ, FL, 33558 |
| G17000073944 | DENTAL PLACE 4 KIDS | ACTIVE | 2017-07-10 | 2027-12-31 | No data | 4675 VAN DYKE ROAD, LUTZ, FL, 33558 |
| G17000067570 | GROWING SMILES 4 KIDS | EXPIRED | 2017-06-19 | 2022-12-31 | No data | 3959 VAN DYKE RD STE 119, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-14 | 4675 Van Dyke Rd, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-14 | 4675 Van Dyke Rd, LUTZ, FL 33558 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-14 | 4675 Van Dyke Rd, LUTZ, FL 33558 | No data |
| LC NAME CHANGE | 2016-09-12 | PEDIATRIC DENTISTRY OF LUTZ, LLC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-08-24 |
| LC Name Change | 2016-09-12 |
| Florida Limited Liability | 2016-08-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
