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AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC

Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 06 Nov 2020 (4 years ago)
Document Number: L20000342151
FEI/EIN Number 85-3814984
Address: 800 DUNN AVENUE, JACKSONVILLE, FL 32217
Mail Address: 629 DAVIS DRIVE, SUITE 300, ATTN: LEGAL DEPARTMENT, MORRISVILLE, NC 27560
ZIP code: 32217
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396411153 2021-08-20 2021-08-20 5986 20TH ST, VERO BEACH, FL, 32966, US 5986 20TH ST, VERO BEACH, FL, 32966, US

Contacts

Phone +1 877-297-6743

Authorized person

Name CHARLES GILLAM
Role OWNER
Phone 8772976743

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
NRAI SERVICES, INC. Agent

President

Name Role Address
GILLAM, CHARLES R, DMD President 800 DUNN AVENUE, JACKSONVILLE, FL 32218

Asst. Treasurer

Name Role Address
GAINES, BRETT Asst. Treasurer 800 DUNN AVENUE, JACKSONVILLE, FL 32218

Secretary

Name Role Address
Lasseter, Anna Secretary 629 DAVIS DRIVE, SUITE 300, ATTN: LEGAL DEPARTMENT MORRISVILLE, NC 27560

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000078753 AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE ACTIVE 2022-06-30 2027-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560
G22000075326 AFFORDABLE DENTURES & IMPLANTS - JACKSONVILLE ACTIVE 2022-06-22 2027-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560
G22000075327 AFFORDABLE DENTURES & IMPLANTS - EAST ORLANDO ACTIVE 2022-06-22 2027-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560
G22000003375 AFFORDABLE DENTURES & IMPLANTS - VERO BEACH ACTIVE 2022-01-10 2027-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-04-27
Florida Limited Liability 2020-11-06

Date of last update: 15 Jan 2025

Sources: Florida Department of State