| Entity Name: | KIND SMILES DENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Aug 2019 (6 years ago) |
| Document Number: | L19000209313 |
| FEI/EIN Number | 84-3110947 |
| Address: | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 |
| Mail Address: | 11155 State Road 70 East, Lakewood Ranch, FL 34202 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730795857 | 2020-09-23 | 2021-05-17 | 11155 STATE ROAD 70 EAST, LAKEWOOD RANCH, FL, 342028264, US | 11155 STATE ROAD 70 E, LAKEWOOD RANCH, FL, 34202, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 941-251-6225 |
| Phone | +1 941-253-5565 |
| Fax | 8133360836 |
Authorized person
| Name | ALLISON KONICK |
| Role | AO |
| Phone | 9412516225 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIND SMILES DENTAL HEALTH LLC | 2023 | 843110947 | 2024-08-21 | KIND SMILES DENTAL HEALTH LLC | 4 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-08-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9089306205 |
| Plan sponsor’s address | 11155 SR 70 E, BRADENTON, FL, 34202 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-12 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KONICK, ALLISON P, DMD | Agent | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| KONICK, ALLISON P, DMD | Authorized Person | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 |
| Name | Role | Address |
|---|---|---|
| McSherry Jr, Dennis | Administrator | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-05 | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-13 | 11155 SR 70 E, LAKEWOOD RANCH, FL 34202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-01-19 |
| Florida Limited Liability | 2019-08-16 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
