| Entity Name: | MICHAEL C. DICKERSON DMD HOLDINGS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Dec 2019 (5 years ago) |
| Document Number: | L19000303077 |
| FEI/EIN Number | 84-4045777 |
| Address: | 449 S. 12TH STREET, #2802, TAMPA, FL 33602 |
| Mail Address: | 449 S. 12TH STREET, #2802, TAMPA, FL 33602 |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518507227 | 2020-01-10 | 2023-06-13 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 10955 CAUSEWAY BLVD, BRANDON, FL, 335111997, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-502-0346 |
Authorized person
| Name | MICHAEL DICKERSON |
| Role | OWNER |
| Phone | 8135020346 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DICKERSON, MICHAEL C, DMD | Manager | 449 S. 12TH STREET, #2802, TAMPA, FL 33602 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000037535 | ASPEN DENTAL | ACTIVE | 2024-03-14 | 2029-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G23000126008 | ASPEN DENTAL | ACTIVE | 2023-10-11 | 2028-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G22000081028 | ASPEN DENTAL | ACTIVE | 2022-07-07 | 2027-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G20000100996 | ASPEN DENTAL | ACTIVE | 2020-08-10 | 2025-12-31 | No data | 449 S. 12TH STREET, #2802, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-17 | 449 S. 12TH STREET, #2802, TAMPA, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-17 | 449 S. 12TH STREET, #2802, TAMPA, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-17 | DFS AGENT, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-03-17 |
| Florida Limited Liability | 2019-12-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4263177108 | 2020-04-13 | 0455 | PPP | 1730 N Jog Rd, WEST PALM BEACH, FL, 33411-2500 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 15 Feb 2025
Sources: Florida Department of State
