| Entity Name: | HIDDEN GEM DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Jun 2019 (6 years ago) |
| Document Number: | L17000151870 |
| FEI/EIN Number | 82-2263720 |
| Address: | 4403 WEST HILLSBORO BOULEVARD, COCONUT CREEK, FL, 33073, US |
| Mail Address: | 4403 W Hillsboro Blvd, Coconut Creek, FL, 33073, US |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265063127 | 2020-01-30 | 2020-01-30 | 4403 W HILLSBORO BLVD, COCONUT CREEK, FL, 330733293, US | 4403 W HILLSBORO BLVD, COCONUT CREEK, FL, 330733293, US | |||||||||||||||||||||||||
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| Phone | +1 954-405-9620 |
| Fax | 9546970702 |
Authorized person
| Name | HELENA HOGAN |
| Role | OWNER |
| Phone | 9544059620 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DENTAL |
| Number | 1235394172 |
| Issuer | DENTAL |
| Number | 1851520456 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KRYKHTIN PAVEL | Agent | 4511 S OCEAN BLVD, HIGHLAND BEACH, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| KRYKHTIN PAVEL | Manager | 4511 S OCEAN BLVD, HIGHLAND BEACH, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| HOGAN HELENA | Authorized Member | 2921 NW 27TH AVE, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2019-06-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-26 | 4403 WEST HILLSBORO BOULEVARD, COCONUT CREEK, FL 33073 | No data |
| LC AMENDMENT | 2017-07-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-08 |
| LC Amendment | 2019-06-13 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-26 |
| LC Amendment | 2017-07-28 |
| Florida Limited Liability | 2017-07-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
