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SMILLIE DENTAL, PLLC

Company Details

Entity Name: SMILLIE DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 May 2017 (8 years ago)
Document Number: L17000106905
FEI/EIN Number 82-1626308
Address: 5537 South Williamson Blvd, PORT ORANGE, FL, 32128, US
Mail Address: 5537 South Williamson Blvd, PORT ORANGE, FL, 32128, US
ZIP code: 32128
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750981452 2020-10-30 2020-10-30 5537 S WILLIAMSON BLVD STE 675, PORT ORANGE, FL, 321288314, US 5537 S WILLIAMSON BLVD STE 675, PORT ORANGE, FL, 321288314, US

Contacts

Phone +1 386-317-4754

Authorized person

Name JOSEPH SMILLIE
Role OWNER/DENTIST
Phone 3214469037

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
SMILLIE JOSEPH DMD Agent 5537 S Williamson Blvd, Port Orange, FL, 32128

Authorized Member

Name Role Address
SMILLIE Joseph DMD Authorized Member 5537 S Williamson Blvd, Port Orange, FL, 32128

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-04-28 5537 S Williamson Blvd, Ste 675, Port Orange, FL 32128 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-12 5537 South Williamson Blvd, 675, PORT ORANGE, FL 32128 No data
CHANGE OF MAILING ADDRESS 2018-03-12 5537 South Williamson Blvd, 675, PORT ORANGE, FL 32128 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-03-12
Florida Limited Liability 2017-05-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State