| Entity Name: | COASTLINE FAMILY DENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L22000283581 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 15300 JOG ROAD, SUITE 210, DELRAY BEACH, FL, 33446, US |
| Mail Address: | 15300 JOG ROAD, SUITE 210, DELRAY BEACH, FL, 33446, US |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205568391 | 2022-06-27 | 2024-01-09 | 15300 S JOG RD STE 210, DELRAY BEACH, FL, 334462166, US | 15300 S JOG RD STE 210, DELRAY BEACH, FL, 334462166, US | |||||||||||||
|
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| Phone | +1 561-499-6664 |
Authorized person
| Name | DR. ASHTON DAHMS |
| Role | PRESIDENT |
| Phone | 2395308165 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAHMS ASHTON | Agent | 4831 TARPON AVE, BONITA SPRINGS, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| DAHMS ASHTON | Authorized Member | 4831 TARPON AVE, BONITA SPRINGS, FL, 34134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000082256 | COASTLINE FAMILY DENTAL & IMPLANT CENTER | ACTIVE | 2024-07-09 | 2029-12-31 | No data | 15300 S JOG RD, SUITE 210, DELRAY BEACH, FL, 33446 |
| G22000156949 | EDGE DENTAL DELRAY | ACTIVE | 2022-12-20 | 2027-12-31 | No data | 15300 S JOG RD, #210, DELRAY BEACH, FL, 33446 |
| G22000153038 | COASTLINE FAMILY DENTAL | ACTIVE | 2022-12-13 | 2027-12-31 | No data | 15300 JOG RD,SUITE 210, DELRAY BEACH, FL, 33446 |
| G22000088502 | LASER AND COSMETIC DENTISTRY OF DELRAY | ACTIVE | 2022-07-27 | 2027-12-31 | No data | 1111 BRICKELL BAY DRIVE, APT 1111, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2022-12-13 | COASTLINE FAMILY DENTAL LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-13 | 15300 JOG ROAD, SUITE 210, DELRAY BEACH, FL 33446 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-13 | 15300 JOG ROAD, SUITE 210, DELRAY BEACH, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-03-15 |
| LC Amendment and Name Change | 2022-12-13 |
| Florida Limited Liability | 2022-06-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
