| Entity Name: | DAB DENTAL CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Sep 2018 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L18000224096 |
| FEI/EIN Number | 83-1993114 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 2700 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174093256 | 2018-11-30 | 2019-03-31 | 2700 TAMIAMI TRACIL #7, SARASOTA, FL, 342490001, US | 2700 TAMIAMI TRACIL #7, SARASOTA, FL, 342490001, US | |||||||||||||
|
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| Phone | +1 941-365-0800 |
Authorized person
| Name | STEPHANIE GOMEZ |
| Role | CREDENTIALING SUPERVISOR |
| Phone | 3052742499 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN, RUSSELL | Agent | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Name | Role | Address |
|---|---|---|
| CORONA, DENNIS A, D.D.S. | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| GALLO, DONALD A, D.M.D. | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-24 |
| Florida Limited Liability | 2018-09-24 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
