| Entity Name: | FOREST PARK DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FOREST PARK DENTAL, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 25 May 2017 (8 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L17000115652 |
| FEI/EIN Number |
82-2014611
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 707 JENKS AVE., PANAMA CITY, FL, 32405, US |
| Mail Address: | 707 JENKS AVE., PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922529916 | 2017-06-29 | 2017-06-29 | 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US | 2620 JENKS AVE, PANAMA CITY, FL, 324054311, US | |||||||||||||||
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| Phone | +1 334-676-2320 |
| Phone | +1 850-785-8586 |
Authorized person
| Name | SUSAN STEWART |
| Role | ADMINISTRATOR |
| Phone | 3346762320 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOREST PARK DENTAL, PLLC 401(K) PLAN | 2023 | 822014611 | 2024-02-12 | FOREST PARK DENTAL, PLLC | 18 | |||||||||||||
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| FOREST PARK DENTAL, PLLC 401(K) PLAN | 2022 | 822014611 | 2023-10-04 | FOREST PARK DENTAL, PLLC | 19 | |||||||||||||
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| FOREST PARK DENTAL, PLLC 401(K) PLAN | 2021 | 822014611 | 2022-10-15 | FOREST PARK DENTAL, PLLC | 18 | |||||||||||||
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| FOREST PARK DENTAL, PLLC 401(K) PLAN | 2020 | 822014611 | 2021-10-14 | FOREST PARK DENTAL, PLLC | 15 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| BLUE WATERS DENTAL GROUP, PA. | Agent | - |
| THOMPSON KRISTA | President | 707 JENKS AVE., PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-23 | 2620 JENKS AVE., PANAMA CITY, FL 32401 | - |
| CHANGE OF MAILING ADDRESS | 2019-11-22 | 707 JENKS AVE., PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT NAME CHANGED | 2019-11-22 | Blue Waters Dental Group, PA. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-22 | 707 JENKS AVE., PANAMA CITY, FL 32405 | - |
| REINSTATEMENT | 2019-11-22 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-23 |
| REINSTATEMENT | 2019-11-22 |
| ANNUAL REPORT | 2018-04-16 |
| Florida Limited Liability | 2017-05-25 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
