| Entity Name: | PROFESSIONAL DENTAL ALLIANCE OF FL - OON, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2022 (3 years ago) |
| Document Number: | L22000340425 |
| FEI/EIN Number | N/A |
| Address: | 125 Enterprise Dr, Suite 200, Pittsburgh, PA 15275 |
| Mail Address: | 125 Enterprise Dr, Suite 200, Pittsburgh, PA 15275 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891579959 | 2023-08-21 | 2023-08-21 | 125 ENTERPRISE DR STE 200, PITTSBURGH, PA, 152751223, US | 2350 S HIGHWAY 29, CANTONMENT, FL, 325338508, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-968-2106 |
Authorized person
| Name | ERICA QUINTEROS |
| Role | CREDENTIALING |
| Phone | 7249011964 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| PROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000159188 | ISLAND DENTAL | ACTIVE | 2022-12-25 | 2027-12-31 | No data | 125 ENTERPRISE DR., STE. 200, PITTSBURGH, PA, 15275 |
| G22000100206 | ALTIMA DENTAL GROUP - COUNTRY WALK | ACTIVE | 2022-08-24 | 2027-12-31 | No data | 11 S. MILL ST., STE. 200, NEW CASTLE, PA, 16101 |
| G22000100215 | ALTIMA DENTAL GROUP - WEST KENDALL | ACTIVE | 2022-08-24 | 2027-12-31 | No data | 11 S. MILL ST., STE. 200, NEW CASTLE, PA, 16101 |
| G22000100226 | AGGIE DENTAL CENTER | ACTIVE | 2022-08-24 | 2027-12-31 | No data | 11 S. MILL ST., STE. 200, NEW CASTLE, PA, 16101 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 125 Enterprise Dr, Suite 200, Pittsburgh, PA 15275 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 125 Enterprise Dr, Suite 200, Pittsburgh, PA 15275 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-08-02 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
