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WEST SIDE DENTAL ASSOCIATES, LLC

Company Details

Entity Name: WEST SIDE DENTAL ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Dec 2018 (6 years ago)
Document Number: L18000277931
FEI/EIN Number 83-2717189
Address: 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210, US
Mail Address: 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210, US
ZIP code: 32210
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841763539 2019-01-07 2019-01-07 6223 SAUTERNE DR, JACKSONVILLE, FL, 322107728, US 6223 SAUTERNE DR, JACKSONVILLE, FL, 322107728, US

Contacts

Phone +1 904-771-0568

Authorized person

Name DR. MATTHEW JACKSON HENRY
Role OWNER/MANAGER
Phone 3053360554

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
HENRY MATTHEW J Agent 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210

Manager

Name Role Address
HENRY MATTHEW J Manager 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210

President

Name Role Address
HENRY MATTHEW J President 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210

Secretary

Name Role Address
HENRY MATTHEW J Secretary 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000001711 MATTHEW J HENRY DDS AND ROBERT R COWIE DDS EXPIRED 2019-01-03 2024-12-31 No data 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210
G19000001713 MATTHEW J HENRY DDS EXPIRED 2019-01-03 2024-12-31 No data 6223 SAUTERNE DR, JACKSONVILLE, FL, 32210

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-04-24
Florida Limited Liability 2018-12-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State