| Entity Name: | BONITA ENDODONTIC ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Aug 2020 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 30 Sep 2024 (4 months ago) |
| Document Number: | L20000260549 |
| FEI/EIN Number | 85-2869564 |
| Address: | 8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135, US |
| Mail Address: | 8899 TIMBERWILDE DRIVE, SUITE 3, BONITA SPRINGS, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801595210 | 2023-02-24 | 2023-02-24 | 8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL, 341357896, US | 8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL, 341357896, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-498-7668 |
| Fax | 2394987630 |
Authorized person
| Name | DR. NATHAN C. DEWSNUP |
| Role | MEMBER |
| Phone | 2394987668 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BOARD OF DENTISTRY |
| Number | DN16186 |
| State | FL |
| Issuer | FLORIDA BOARD OF DENTISTRY |
| Number | DN22368 |
| State | FL |
| Issuer | FLORIDA BOARD OF DENTISTRY |
| Number | DN21501 |
| State | FL |
| Issuer | FLORIDA BOARD OF DENTISTRY |
| Number | DN27423 |
| State | FL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role |
|---|---|
| BENNETT ENDODONTICS LLC | Authorized Member |
| NATHAN C. DEWSNUP DMD, MS, LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-09-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-30 | COGENCY GLOBAL INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-30 | 115 NORTH CALHOUN STREET, SUITE 4, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-09-30 |
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-08-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
