| Entity Name: | ULTIMATE SMILE DESIGN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Nov 2016 (8 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 19 Dec 2016 (8 years ago) |
| Document Number: | L16000212051 |
| FEI/EIN Number | 81-4484945 |
| Address: | 730 EMERSON DRIVE NE, PALM BAY, FL, 32907, US |
| Mail Address: | 730 EMERSON DRIVE NE, PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932642634 | 2016-11-29 | 2016-11-29 | 730 EMERSON DR NE, PALM BAY, FL, 329071430, US | 730 EMERSON DR NE, PALM BAY, FL, 329071430, US | |||||||||||||||||||||||||
|
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| Phone | +1 321-984-7878 |
Authorized person
| Name | MICHELE MILLER |
| Role | OFFICE MANAGER |
| Phone | 3219847878 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN10353 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN20799 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BRUNN FRANK | Agent | 407 EAST NEW HAVEN AVENUE, MELBOURNE, FL, 329014507 |
| Name | Role |
|---|---|
| EMILY MILLINGEN DDS, PLLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2016-12-19 | ULTIMATE SMILE DESIGN PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-17 |
| LC Amendment and Name Change | 2016-12-19 |
| Florida Limited Liability | 2016-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
