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BRIGHT SMILES PEDIATRIC DENTISTRY NASSAU LLC

Company Details

Entity Name: BRIGHT SMILES PEDIATRIC DENTISTRY NASSAU LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jul 2020 (5 years ago)
Document Number: L20000207430
FEI/EIN Number 85-1998048
Address: 463725 State Road 200, Suite 3, Yulee, FL, 32097, US
Mail Address: 196 EVEREST LANE, STE 1, ST JOHNS, FL, 32259, UN
ZIP code: 32097
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710595509 2020-07-17 2020-07-17 196 EVEREST LN STE 1, SAINT JOHNS, FL, 322594103, US 960135 GATEWAY BLVD, FERNANDINA BEACH, FL, 320349120, US

Contacts

Phone +1 904-584-9004

Authorized person

Name STACEY VEAL
Role PRACTICE MANAGER
Phone 9045849004

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
BRIGHT BRYAN M Agent 196 EVEREST LANE, ST JOHNS, FL, 32259

President

Name Role Address
Bright Bryan M President 463725 State Road, Yulee, FL, 32097

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-10 463725 State Road 200, Suite 3, Yulee, FL 32097 No data

Documents

Name Date
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-30
Florida Limited Liability 2020-07-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State