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DENTISTRY FOR CHILDREN OF FLORIDA 2, PLLC

Company Details

Entity Name: DENTISTRY FOR CHILDREN OF FLORIDA 2, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Nov 2019 (5 years ago)
Document Number: L19000277660
FEI/EIN Number NOT APPLICABLE
Address: 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US
Mail Address: 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417580721 2020-02-14 2020-02-14 3021 AIRPORT RD N STE 203, NAPLES, FL, 341053077, US 3021 AIRPORT RD N STE 203, NAPLES, FL, 341053077, US

Contacts

Phone +1 239-262-3898

Authorized person

Name MONICA PERKINS
Role CREDENTIALING SPECIALIST
Phone 7706921000

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Member

Name Role Address
Martin Robert S Member 2970 Brandywine Road, Atlanta, GA, 30341

Manager

Name Role
D4C DENTAL BRANDS, INC. Manager

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-16 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 No data
CHANGE OF MAILING ADDRESS 2024-04-16 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-05-13
Florida Limited Liability 2019-11-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State