STALLION DENTAL, PLLC - Florida Company Profile

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Company Details

Entity Name:	STALLION DENTAL, PLLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	15 Jun 2021 (4 years ago)
Last Event:	LC AMENDMENT
Event Date Filed:	11 Aug 2021 (4 years ago)
Document Number:	L21000277190
FEI/EIN Number	87-1545960
Address:	2701 Park Drive, Clearwater, FL, 33763, US
Mail Address:	2701 Park Drive, Clearwater, FL, 33763, US
ZIP code:	33763
City:	Clearwater
County:	Pinellas
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
Alqasemi Hiba	Manager	2701 Park Drive, Clearwater, FL, 33763
AL ADHAM ZIAD DDS	Agent	2701 Park Drive, Clearwater, FL, 33763
AL ADHAM ZIAD DDS	Manager	2701 Park Drive Suite 4, Clearwater, FL, 33763

National Provider Identifier

NPI Number:

1558025528

Certification Date:

2021-10-26

Link:

View on NPI website

Authorized Person:

Name:

ZIAD AL ADHAM

Role:

PRESIDENT

Phone:

7273043156

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 727-304-3156

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G21000112397	BEYOND DENTISTRY CLEARWATER	ACTIVE	2021-08-30	2026-12-31	-	2701 PARK DRIVE STE 4, CLEARWATER, FL, 33763

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2022-03-15	2701 Park Drive, Suite 4, Clearwater, FL 33763	-
CHANGE OF MAILING ADDRESS	2022-03-15	2701 Park Drive, Suite 4, Clearwater, FL 33763	-
REGISTERED AGENT ADDRESS CHANGED	2022-03-15	2701 Park Drive, Suite 4, Clearwater, FL 33763	-
LC AMENDMENT	2021-08-11	-	-

Documents

Name	Date
ANNUAL REPORT	2024-04-02
ANNUAL REPORT	2023-03-19
ANNUAL REPORT	2022-03-15
LC Amendment	2021-08-11
Florida Limited Liability	2021-06-15

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Date of last update: 01 Aug 2025

Sources: Florida Department of State