| Entity Name: | PAN DENTAL SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Aug 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Mar 2020 (5 years ago) |
| Document Number: | L19000213153 |
| FEI/EIN Number | 84-2899692 |
| Address: | 190 PINE AVE N, OLDSMAR, FL, 34677, US |
| Mail Address: | 190 PINE AVE N, OLDSMAR, FL, 34677, US |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407539133 | 2023-08-09 | 2023-08-09 | 190 PINE AVE N, OLDSMAR, FL, 346774629, US | 190 PINE AVE N, OLDSMAR, FL, 346774629, US | |||||||||||||||
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| Phone | +1 813-855-1007 |
| Fax | 8138551009 |
Authorized person
| Name | MICHELLE PAN |
| Role | OFFICE MANAGER |
| Phone | 8138551007 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAN DENTAL SERVICES 401(K) PLAN | 2023 | 842899692 | 2024-07-09 | PAN DENTAL SERVICES, PLLC | 5 | |||||||||||||
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| PAN DENTAL SERVICES 401(K) PLAN | 2022 | 842899692 | 2023-06-19 | PAN DENTAL SERVICES, PLLC | 6 | |||||||||||||
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| PAN DENTAL SERVICES 401(K) PLAN | 2021 | 842899692 | 2022-08-02 | PAN DENTAL SERVICES, PLLC | 2 | |||||||||||||
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| PAN DENTAL SERVICES 401(K) PLAN | 2020 | 842899692 | 2021-10-12 | PAN DENTAL SERVICES, PLLC | 2 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| PAN RICKY DMD | Agent | 190 PINE AVE N, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| PAN RICKY DMD | Authorized Member | 190 PINE AVE N, OLDSMAR, FL, 34677 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000136190 | PINE AVENUE SMILES | ACTIVE | 2019-12-26 | 2029-12-31 | No data | 190 PINE AVE N, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-03-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-18 | 190 PINE AVE N, OLDSMAR, FL 34677 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-25 | 190 PINE AVE N, OLDSMAR, FL 34677 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-25 | 190 PINE AVE N, OLDSMAR, FL 34677 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-18 |
| LC Amendment | 2020-03-18 |
| Florida Limited Liability | 2019-08-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
