Search icon

SMILELYNN PEDIATRIC DENTISTRY, PLLC

Company Details

Entity Name: SMILELYNN PEDIATRIC DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 May 2017 (8 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 28 Nov 2017 (7 years ago)
Document Number: L17000112674
FEI/EIN Number 82-1709491
Address: 122 Harbor Village Lane, Apollo Beach, FL, 33572, US
Mail Address: 11104 Winn Rd, Riverview, FL, 33569, US
ZIP code: 33572
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568953867 2018-05-22 2018-05-22 2812 COMMONWEALTH AVE, VALRICO, FL, 335944784, US 122 HARBOR VILLAGE LN, APOLLO BEACH, FL, 335723402, US

Contacts

Phone +1 813-298-3719

Authorized person

Name DR. CASEY LYNN
Role OWNER
Phone 8122983719

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN21339
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILELYNN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2023 821709491 2024-05-29 SMILELYNN PEDIATRIC DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8135913052
Plan sponsor’s address 122 HARBOR VILLAGE LANE, APOLLO BEACH, FL, 33572
SMILELYNN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2022 821709491 2023-04-05 SMILELYNN PEDIATRIC DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8135913052
Plan sponsor’s address 122 HARBOR VILLAGE LANE, APOLLO BEACH, FL, 33572
SMILELYNN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2021 821709491 2022-08-17 SMILELYNN PEDIATRIC DENTISTRY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8135913052
Plan sponsor’s address 122 HARBOR VILLAGE LANE, APOLLO BEACH, FL, 33572
SMILELYNN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2020 821709491 2021-04-12 SMILELYNN PEDIATRIC DENTISTRY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 8135913052
Plan sponsor’s address 122 HARBOR VILLAGE LANE, APOLLO BEACH, FL, 33572

Agent

Name Role Address
LYNN CASEY DMD Agent 11104 Winn Rd, Riverview, FL, 33569

Authorized Member

Name Role Address
LYNN CASEY DMD Authorized Member 11104 Winn Rd, Riverview, FL, 33569

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-01-13 122 Harbor Village Lane, Apollo Beach, FL 33572 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-13 11104 Winn Rd, Riverview, FL 33569 No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-06 122 Harbor Village Lane, Apollo Beach, FL 33572 No data
LC NAME CHANGE 2017-11-28 SMILELYNN PEDIATRIC DENTISTRY, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-03-06
LC Name Change 2017-11-28
Florida Limited Liability 2017-05-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State