| Entity Name: | IDEAL DENTAL TEMPLE TERRACE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Sep 2021 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L21000416504 |
| FEI/EIN Number | 87-2914322 |
| Address: | 100 BULLARD PKWY, TEMPLE TERRACE, FL 33617 |
| Mail Address: | 12770 MERIT DRIVE, STE 850, DALLAS, TX 75251 |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255094181 | 2021-10-18 | 2023-05-08 | PO BOX 840925, DALLAS, TX, 752840925, US | 100 BULLARD PARKWAY, TEMPLE TERRACE, FL, 33617, US | |||||||||||||||
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| Phone | +1 972-361-0600 |
| Phone | +1 813-849-0005 |
Authorized person
| Name | MATTHEW DOAN |
| Role | OWNER |
| Phone | 9723610600 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DOAN, MATTHEW, DDS | Member | 8120 COPPER WAY, DALLAS, TX 75252 |
| Name | Role | Address |
|---|---|---|
| COUSSA, JOSHUA, DMD | Manager | 8235 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-24 |
| Florida Limited Liability | 2021-09-21 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
