| Entity Name: | MONTICELLO DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2018 (7 years ago) |
| Document Number: | L18000028127 |
| FEI/EIN Number | 82-4349288 |
| Address: | 1535 W WASHINGTON ST, MONTICELLO, FL, 32344 |
| Mail Address: | 1535 W WASHINGTON ST, MONTICELLO, FL, 32344 |
| ZIP code: | 32344 |
| County: | Jefferson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316431455 | 2018-06-21 | 2018-06-21 | 1535 W WASHINGTON ST, MONTICELLO, FL, 323441133, US | 1535 W WASHINGTON ST, MONTICELLO, FL, 323441133, US | |||||||||||||||||||
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| Phone | +1 850-997-2485 |
| Fax | 8509973783 |
Authorized person
| Name | DR. WARREN JOSEPH THIRY |
| Role | PRESIDENT / DENTIST |
| Phone | 8509972485 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN18939 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THIRY WARREN J | Agent | 1535 W WASHINGTON ST, MONTICELLO, FL, 32344 |
| Name | Role | Address |
|---|---|---|
| THIRY WARREN J | Manager | 1535 W WASHINGTON ST, MONTICELLO, FL, 32344 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-11 |
| Florida Limited Liability | 2018-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
