| Entity Name: | MAGICAL SMILES PEDIATRIC DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2016 (8 years ago) |
| Document Number: | L16000195736 |
| FEI/EIN Number | 81-4241886 |
| Address: | 918 Williston Park Point, LAKE MARY, FL, 32746, US |
| Mail Address: | 918 Williston Park Point, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659886034 | 2017-12-07 | 2017-12-07 | 918 WILLISTON PARK PT, LAKE MARY, FL, 327462122, US | 918 WILLISTON PARK PT, LAKE MARY, FL, 327462122, US | |||||||||||||||||||
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| Phone | +1 321-363-1889 |
| Phone | +1 407-878-1318 |
Authorized person
| Name | FALASTIN ABU-SAMN |
| Role | DENTIST/OWNER |
| Phone | 4074170847 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN22279 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAGICAL SMILES PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 814241886 | 2024-09-26 | MAGICAL SMILES PEDIATRIC DENTISTRY, LLC | 8 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-26 |
| Name of individual signing | DENO WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3213631889 |
| Plan sponsor’s address | 918 WILLISTON PARK POINT, LAKE MARY, FL, 32746 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | DENO WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3213631889 |
| Plan sponsor’s address | 918 WILLISTON PARK POINT, LAKE MARY, FL, 32746 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-13 |
| Name of individual signing | DENO WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ABU-SAMN FALASTIN | Agent | 918 Williston Park Point, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| Williams Deno | Manager | 1240 Patterson Terrace, Lake Mary, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-29 | 918 Williston Park Point, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-29 | 918 Williston Park Point, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-29 | 918 Williston Park Point, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-29 |
| Florida Limited Liability | 2016-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
