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IDEAL DENTAL ODESSA PLLC

Company Details

Entity Name: IDEAL DENTAL ODESSA PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 May 2022 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Jan 2024 (a year ago)
Document Number: L22000221934
FEI/EIN Number 88-2610893
Mail Address: 12750 Merit Dr. Suite 1100, Dallas, TX, 75251, US
Address: 13266 Pine Gap Spur, ODESSA, FL, 33556, US
ZIP code: 33556
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548998370 2022-08-10 2023-10-04 PO BOX 840925, DALLAS, TX, 752840925, US 13266 PINE GAP SPUR, ODESSA, FL, 33556, US

Contacts

Phone +1 972-361-0600
Phone +1 813-359-0753
Fax 8137710218

Authorized person

Name RODNEY ALLES
Role OWNER
Phone 9723318079

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Authorized Member

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

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-01-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-29 13266 Pine Gap Spur, ODESSA, FL 33556 No data
CHANGE OF MAILING ADDRESS 2024-01-29 13266 Pine Gap Spur, ODESSA, FL 33556 No data
REGISTERED AGENT NAME CHANGED 2024-01-29 C T CORPORATION SYSTEM No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
REINSTATEMENT 2024-01-29
Florida Limited Liability 2022-05-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State