Search icon

RENNIGADE DENTAL GROUP, PLLC

Company Details

Entity Name: RENNIGADE DENTAL GROUP, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Sep 2021 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 22 Sep 2021 (3 years ago)
Document Number: L21000410187
FEI/EIN Number 87-2719660
Address: 180 SPANISH MOSS DR, ST AUGUSTINE, FL, 32095, US
Mail Address: 180 SPANISH MOSS DR, ST AUGUSTINE, FL, 32095, US
ZIP code: 32095
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316600356 2021-10-18 2023-06-15 PO BOX 70887, CLEVELAND, OH, 441900887, US 1747 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320844238, US

Contacts

Phone +1 904-495-0881

Authorized person

Name KEVON RENNIE
Role OWNER
Phone 9044950881

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
DFS AGENT, LLC Agent

Manager

Name Role Address
RENNIE KEVON EDMD Manager 180 SPANISH MOSS DR, ST AUGUSTINE, FL, 32095

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000105684 ASPEN DENTAL ACTIVE 2023-09-06 2028-12-31 No data 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057
G22000060367 ASPEN DENTAL ACTIVE 2022-05-13 2027-12-31 No data 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057
G22000051826 ASPEN DENTAL ACTIVE 2022-04-25 2027-12-31 No data 281 SANDERS CREEK PARKWAY, PARKWAY EAST SYRACUSE, NY, 13057

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2021-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2021-09-22 DFS AGENT, LLC No data
REGISTERED AGENT ADDRESS CHANGED 2021-09-22 1760 N. JOG ROAD - STE. 150, WEST PALM BEACH, FL 33411 No data

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-03-19
ANNUAL REPORT 2022-04-27
CORLCRACHG 2021-09-22
Florida Limited Liability 2021-09-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State