| Entity Name: | JACKSONVILLE DENTAL EXCELLENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2021 (4 years ago) |
| Document Number: | L21000172076 |
| FEI/EIN Number | 86-3412136 |
| Mail Address: | 1501 Big Tree Rd, Neptune Beach, FL, 32266, US |
| Address: | 6851 BELFORT OAKS PL, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538817960 | 2022-03-15 | 2022-03-16 | 6851 BELFORT OAKS PL, JACKSONVILLE, FL, 322166242, US | 6851 BELFORT OAKS PL, JACKSONVILLE, FL, 322166242, US | |||||||||||||||
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| Phone | +1 904-281-2566 |
| Fax | 9042967210 |
Authorized person
| Name | RYAN JOHNSON |
| Role | DENTIST/OWNER |
| Phone | 9042812566 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON RYAN | Agent | 1501 Big Tree Rd, Neptune Beach, FL, 32266 |
| Name | Role | Address |
|---|---|---|
| JOHNSON RYAN M | President | 1501 Big Tree Rd, Neptune Beach, FL, 32266 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 6851 BELFORT OAKS PL, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-30 | 1501 Big Tree Rd, Neptune Beach, FL 32266 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-30 |
| Florida Limited Liability | 2021-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
