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NATHAN C. DEWSNUP DMD, MS, LLC

NATHAN C. DEWSNUP DMD, MS, LLC

Company Details

Entity Name:	NATHAN C. DEWSNUP DMD, MS, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	28 Sep 2016 (8 years ago)
Document Number:	L16000180970
FEI/EIN Number	81-4021048
Address:	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135
Mail Address:	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135
ZIP code:	34135
County:	Lee
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1881181030

2018-04-13

2018-04-13

8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL, 341357896, US

8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL, 341357896, US

Contacts

Phone	+1 239-498-7668
Fax	2394987630

Authorized person

Name	DR. NATHAN CANNON DEWSNUP
Role	OWNER
Phone	2394987668

Taxonomy

Taxonomy Code	1223E0200X - Endodontist
License Number	DN22368
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BONITA ENDODONTIC ASSOCIATES PLLC 401(K) PLAN

2021

814021048

2022-10-05

NATHAN C. DEWSNUP DMD, MS, LLC

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

BONITA ENDODONTIC ASSOCIATES PLLC 401(K) PLAN

2021

814021048

2022-10-05

NATHAN C. DEWSNUP DMD, MS, LLC

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

NATHAN C. DEWSNUP DMD 401(K) PLAN

2020

814021048

2021-09-17

NATHAN C. DEWSNUP DMD, MS, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

NATHAN C. DEWSNUP DMD 401(K) PLAN

2019

814021048

2020-07-15

NATHAN C. DEWSNUP DMD, MS, LLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

NATHAN C. DEWSNUP DMD 401(K) PLAN

2018

814021048

2019-10-08

NATHAN C. DEWSNUP DMD, MS, LLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

NATHAN C. DEWSNUP DMD 401(K) PLAN

2017

814021048

2018-05-14

NATHAN C. DEWSNUP DMD, MS, LLC

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2394987668
Plan sponsor’s address	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

Agent

Name	Role	Address
Dewsnup Nathan C	Agent	1112 GOODLETTE ROAD N, NAPLES, FL, 34102

Manager

Name	Role	Address
DEWSNUP NATHAN C	Manager	8899 TIMBERWILDE DRIVE, BONITA SPRINGS, FL, 34135

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G16000125275	BONITA ENDODONTICS	EXPIRED	2016-11-18	2021-12-31	No data	8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-03-29	Dewsnup, Nathan Cannon	No data

Documents

Name	Date
ANNUAL REPORT	2024-03-29
ANNUAL REPORT	2023-04-21
ANNUAL REPORT	2022-03-01
ANNUAL REPORT	2021-04-21
ANNUAL REPORT	2020-03-25
ANNUAL REPORT	2019-02-06
ANNUAL REPORT	2018-03-26
ANNUAL REPORT	2017-03-31
Florida Limited Liability	2016-09-28

Date of last update: 01 Feb 2025

Sources: Florida Department of State