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TOOTH FAIRY DENTAL I LLC

Company Details

Entity Name: TOOTH FAIRY DENTAL I LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Feb 2022 (3 years ago)
Document Number: L22000040122
FEI/EIN Number 87-4828684
Address: 15495 EAGLE NEST LANE, SUITE 110, MIAMI LAKES, FL, 33014
Mail Address: 15495 EAGLE NEST LANE, SUITE 110, MIAMI LAKES, FL, 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487308201 2022-02-10 2022-02-10 15495 EAGLE NEST LN STE 110, MIAMI LAKES, FL, 330142242, US 15495 EAGLE NEST LN STE 110, MIAMI LAKES, FL, 330142242, US

Contacts

Phone +1 561-891-9046

Authorized person

Name SCOTT SPENCER
Role OWNER
Phone 5618919046

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
JIRON & COMPANY, CPA, PA Agent 5200 SW 8TH ST, CORAL GABLES, FL, 33134

Authorized Member

Name Role Address
SPENCER SCOTT DMD, MS Authorized Member 15495 EAGLE NEST LANE, SUITE 110, MIAMI LAKES, FL, 33014

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-27 JIRON & COMPANY, CPA, PA No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 5200 SW 8TH ST, STE 201B, CORAL GABLES, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-01-27
Florida Limited Liability 2022-02-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State