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ADVANCED DENTISTRY OF GAINESVILLE, PLLC

Company Details

Entity Name: ADVANCED DENTISTRY OF GAINESVILLE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 10 Jun 2022 (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: L22000267125
FEI/EIN Number 88-2809992
Address: 4411 NW 8TH AVE., GAINESVILLE, FL 32605
Mail Address: 4411 NW 8TH AVE., GAINESVILLE, FL 32605
ZIP code: 32605
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528786514 2022-08-16 2022-08-16 4411 NW 8TH AVE STE A, GAINESVILLE, FL, 326054520, US 4411 NW 8TH AVE STE A, GAINESVILLE, FL, 326054520, US

Contacts

Phone +1 352-376-7335

Authorized person

Name DR. MARTIN SEBASTIAN LALAMA
Role OWNER
Phone 3523767335

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No
Taxonomy Code 1223P0700X - Prosthodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DENTISTRY OF GAINESVILLE, PLLC RETIREMENT PLAN & TRUST 2023 882809992 2024-10-06 ADVANCED DENTISTRY OF GAINESVILLE, PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3523787335
Plan sponsor’s address 4411 NW 8TH AVENUE, SUITE A, GAINESVILLE, FL, 32605
ADVANCED DENTISTRY OF GAINESVILLE 401(K) PLAN 2022 882809992 2023-10-16 ADVANCED DENTISTRY OF GAINESVILLE 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 3523767355
Plan sponsor’s address 4411 NW 8TH AVE, GAINESVILLE, FL, 32605

Agent

Name Role Address
LOZANO, FRANK Agent 4411 NW 8TH AVE., GAINESVILLE, FL 32605

Authorized Member

Name Role
FRANK E LOZANO, JR., DMD, P.L. Authorized Member
LALAMA PLLC Authorized Member

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2023-07-12
Florida Limited Liability 2022-06-10

Date of last update: 12 Jan 2025

Sources: Florida Department of State