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DENTAL IMPLANT AND FACIAL SURGERY, PLLC - Florida Company Profile

Company Details

Entity Name: DENTAL IMPLANT AND FACIAL SURGERY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DENTAL IMPLANT AND FACIAL SURGERY, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 14 Dec 2021 (3 years ago)
Document Number: L21000526840
FEI/EIN Number 87-4034594

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2600 EAST COMMERCIAL BLVD., SUITE 200, FORT LAUDERDALE, FL, 33308
Mail Address: 2600 EAST COMMERCIAL BLVD., SUITE 200, FORT LAUDERDALE, FL, 33308
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528712189 2022-02-11 2022-02-11 2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL, 33308, US 2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL, 33308, US

Contacts

Phone +1 954-566-0300
Fax 9545669066

Authorized person

Name DR. MICHEL MATOUK
Role OWNER
Phone 9545660300

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes
Taxonomy Code 204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL IMPLANT AND FACIAL SURGERY RETIREMENT PLAN & TRUST 2022 874034594 2023-10-04 DENTAL IMPLANT AND FACIAL SURGERY, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 9545660300
Plan sponsor’s address 2600 E. COMMERCIAL BLVD., SUITE 200, FORT LAUDERDALE, FL, 33308

Key Officers & Management

Name Role Address
MATOUK MICHEL Agent 2600 EAST COMMERCIAL BLVD., FORT LAUDERDALE, FL, 33308
CARLO GUEVARA, M.D., D.D.S., P.A. Authorized Member -
MICHEL MATOUK, MD, DDS, PA. Authorized Member -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-29
Florida Limited Liability 2021-12-14

Date of last update: 01 Apr 2025

Sources: Florida Department of State