| Entity Name: | ESTERO GENERAL DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Aug 2022 (2 years ago) |
| Document Number: | L22000375406 |
| FEI/EIN Number | 88-3957970 |
| Address: | 21301 S. TAMIAMI TRAIL, #350, ESTERO, FL, 33928 |
| Mail Address: | 21301 S. TAMIAMI TRAIL, #350, ESTERO, FL, 33928 |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447976857 | 2022-10-17 | 2022-10-17 | 21301 S TAMIAMI TRL STE 350, ESTERO, FL, 339282944, US | 21301 S TAMIAMI TRL STE 350, ESTERO, FL, 339282944, US | |||||||||||||
|
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| Phone | +1 239-948-1990 |
Authorized person
| Name | DR. TYLER FREY |
| Role | AUTHORIZED MEMBER |
| Phone | 8108459695 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Frey Tyler | Agent | 21301 S. TAMIAMI TRAIL, ESTERO, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| FREY TYLER | Authorized Member | 21301 S. TAMIAMI TRAIL #350, ESTERO, FL, 33928 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000124491 | COASTAL SMILES ESTERO | ACTIVE | 2023-10-07 | 2028-12-31 | No data | 21301 S TAMIAMI TRAIL #350, ESTERO, FL, 33928 |
| G22000129287 | COASTAL SMILES | ACTIVE | 2022-10-16 | 2027-12-31 | No data | 21301 S TAMIAMI TRAIL #350, ESTERO, FL 3, #350, ESTERO, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-24 | Frey, Tyler | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 21301 S. TAMIAMI TRAIL, #350, ESTERO, FL 33928 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-04-24 |
| Florida Limited Liability | 2022-08-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
