| Entity Name: | DANIEL DENTISTRY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DANIEL DENTISTRY PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Aug 2021 (4 years ago) |
| Document Number: | L21000371220 |
| FEI/EIN Number |
87-2285084
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 636 NW 183RD ST, MIAMI, FL, 33169, US |
| Mail Address: | 636 Nw 183rd St, Miami Gardens, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609533140 | 2021-11-18 | 2021-11-18 | 14660 NW 15TH DR, MIAMI, FL, 331671125, US | 636 NW 183RD ST, MIAMI, FL, 331694470, US | |||||||||||||||||||||
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| Phone | +1 786-506-3996 |
| Phone | +1 305-652-8338 |
Authorized person
| Name | CHIONE DANIEL |
| Role | DENTIST |
| Phone | 7865063996 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110999700 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL DENTISTRY PLLC | 2023 | 872285084 | 2024-07-12 | DANIEL DENTISTRY PLLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-12 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DANIEL CHIONE U | Manager | 636 Nw 183rd St, Miami Gardens, FL, 33169 |
| Daniel Chione | Agent | 636 Nw 183rd St, Miami Gardens, FL, 33169 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000043149 | 183RD STREET DENTAL GROUP | ACTIVE | 2022-04-05 | 2027-12-31 | - | 636 NW 183RD ST, MIAMI GARDENS, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-23 | 636 NW 183RD ST, MIAMI, FL 33169 | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-23 | Daniel, Chione | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-23 | 636 Nw 183rd St, Miami Gardens, FL 33169 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-15 | 636 NW 183RD ST, MIAMI, FL 33169 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-03-23 |
| Florida Limited Liability | 2021-08-18 |
Date of last update: 01 May 2025
Sources: Florida Department of State
