| Entity Name: | IDEAL DENTAL CARROLLWOOD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 May 2022 (3 years ago) |
| Document Number: | L22000221206 |
| FEI/EIN Number | 88-2620621 |
| Mail Address: | 12750 Merit Dr. Suite 1100, Dallas, TX, 75251, US |
| Address: | 10901 N. DALE MABRY HIGHWAY, CARROLLWOOD, FL, 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528707841 | 2022-06-03 | 2023-10-02 | PO BOX 840925, DALLAS, TX, 752840925, US | 10917 N DALE MABRY HWY, TAMPA, FL, 336184112, US | |||||||||||||||||
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| Phone | +1 972-361-0600 |
| Phone | +1 813-849-0004 |
| Fax | 8137063610 |
Authorized person
| Name | RODNEY ALLES |
| Role | OWNER |
| Phone | 9723318079 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DOAN, DDS MATTHEW | Authorized Member | 12770 MERIT DRIVE SUITE 850, DALLAS, TX, 75251 |
| COUSSA, DMD JOSHUA J | Authorized Member | 12770 MERIT DRIVE SUITE 850, DALLAS, TX, 75251 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 10901 N. DALE MABRY HIGHWAY, CARROLLWOOD, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-21 |
| Florida Limited Liability | 2022-05-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
