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AFFORDABLE DENTURES & IMPLANTS - FLORIDA II, PLLC

Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - FLORIDA II, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Jun 2021 (4 years ago)
Document Number: L21000283068
FEI/EIN Number 87-1275282
Mail Address: 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC 27560
Address: 9140 S. FEDERAL HWY., PORT ST. LUCIE, FL 34952
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164267910 2024-06-25 2024-06-25 9140 S FEDERAL HWY, PORT ST LUCIE, FL, 349523485, US 9140 S FEDERAL HWY, PORT ST LUCIE, FL, 349523485, US

Contacts

Phone +1 772-398-7790
Fax 7723987796

Authorized person

Name DR. DANIEL M FENTON
Role OWNER
Phone 7723987790

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
NRAI SERVICES, INC. Agent

Manager

Name Role Address
FENTON, DANIEL Manager 9140 S. FEDERAL HWY., PORT ST. LUCIE, FL 34952

Secretary

Name Role Address
LASSETER, ANNA Secretary 629 DAVIS DRIVE, 300 MORRISVILLE, NC 27560

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000078751 AFFORDABLE DENTURES & IMPLANTS - NORTH LAUDERDALE ACTIVE 2022-06-30 2027-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560
G22000026609 AFFORDABLE DENTURES & IMPLANTS - DELRAY BEACH ACTIVE 2022-02-14 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 2022-03-02
Florida Limited Liability 2021-06-17

Date of last update: 14 Jan 2025

Sources: Florida Department of State