| Entity Name: | PEACHTREE DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Aug 2021 (4 years ago) |
| Document Number: | L21000374484 |
| FEI/EIN Number | 87-2249944 |
| Address: | 1906 59th St W Suite A, Bradenton, FL 34209 |
| Mail Address: | 1906 59th St W Suite A, Bradenton, FL 34209 |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376294660 | 2022-01-18 | 2022-01-18 | 1906 59TH ST W STE A, BRADENTON, FL, 342094639, US | 1906 59TH ST W STE A, BRADENTON, FL, 342094639, US | |||||||||||||||
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| Phone | +1 941-795-0144 |
| Fax | 9417957188 |
Authorized person
| Name | DR. GARRETT DALE FOLKS |
| Role | DENTIST/OWNER |
| Phone | 9417950144 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOLKS, GARRETT | Agent | 1906 59th St W Suite A, Bradenton, FL 34209 |
| Name | Role | Address |
|---|---|---|
| FOLKS, GARRETT | Manager | 2375 LAKESIDE MEWS, SARASOTA, FL 34235 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 1906 59th St W Suite A, Bradenton, FL 34209 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 1906 59th St W Suite A, Bradenton, FL 34209 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 1906 59th St W Suite A, Bradenton, FL 34209 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-11 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| Florida Limited Liability | 2021-08-20 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
