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  5. SEASIDE SMILES PEDIATRIC DENTISTRY PLLC

SEASIDE SMILES PEDIATRIC DENTISTRY PLLC

Company Details

Entity Name: SEASIDE SMILES PEDIATRIC DENTISTRY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Apr 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Aug 2021 (3 years ago)
Document Number: L17000092036
FEI/EIN Number 82-1317695
Address: 3725 12TH COURT, B, VERO BEACH, FL, 32960, US
Mail Address: 3725 12TH COURT, B, VERO BEACH, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346764297 2017-08-02 2022-07-21 3725 12TH CT STE B, VERO BEACH, FL, 329606519, US 3725 12TH CT STE B, VERO BEACH, FL, 329606519, US

Contacts
Phone +1 772-562-6880
Fax 7725626895

Authorized person
Name DR. CHELESEA ELIZABETH GARCIA
Role PEDIATRIC DENTIST
Phone 7725626880

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN20858
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2023 831317695 2024-07-31 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-09-01
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2022 831317695 2023-04-24 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-09-01
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2023-04-24
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-24
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2021 831317695 2022-08-10 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-09-01
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2022-08-08
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-08
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2020 831317695 2021-10-09 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-09-01
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2021-10-09
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-09
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2019 831317695 2020-05-28 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-08-07
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-28
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2018 831317695 2019-05-24 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-08-07
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing CHELSEA E. GARCIA, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-24
Name of individual signing CHELSEA E. GARCIA, D.M.D.
Valid signature Filed with authorized/valid electronic signature
SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 401(K) PROFIT SHARING PLAN 2017 831317695 2018-10-03 SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-08-07
Business code 621210
Sponsor’s telephone number 7725626880
Plan sponsor’s address 3725 12TH COURT, SUITE B, VERO BEACH, FL, 32960

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing CHELSEA GARCIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chelsea Garcia Agent 3725 12TH COURT, VERO BEACH, FL, 32960

Manager

Name Role Address
GARCIA CHELSEA Manager 3725 12TH COURT, STE. B, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-12-01 3725 12TH COURT, B, VERO BEACH, FL 32960 No data
CHANGE OF MAILING ADDRESS 2025-12-01 3725 12TH COURT, B, VERO BEACH, FL 32960 No data
REGISTERED AGENT NAME CHANGED 2023-01-25 Chelsea, Garcia No data
LC AMENDMENT 2021-08-30 No data No data
LC STMNT OF RA/RO CHG 2019-02-01 No data No data
LC NAME CHANGE 2017-05-04 SEASIDE SMILES PEDIATRIC DENTISTRY PLLC No data

Documents

Name Date
ANNUAL REPORT 2025-01-11
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-20
LC Amendment 2021-08-30
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-02-01
CORLCRACHG 2019-02-01
ANNUAL REPORT 2019-01-22
ANNUAL REPORT 2018-01-15

Related by officers

GARCIA CHELSEA

3725 12TH COURT LLC AZTEC PAINTING AND CONSTRUCTION LLC

Chelsea Garcia

3725 12TH COURT SA LLC SEASIDE DENTAL CARE PLLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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