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DENTAL OFFICE OF TAMPA, LLC - Florida Company Profile

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Company Details

Entity Name: DENTAL OFFICE OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DENTAL OFFICE OF TAMPA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Nov 2022 (3 years ago)
Document Number: L22000491869
FEI/EIN Number APPLIED FOR

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3955 MORAN ROAD, TAMPA, FL, 33618
Mail Address: 12111 RUSTIC RIVER WAY, TAMPA, FL, 33635
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GARY W. LYONS, ESQUIRE Agent CENTER COURT, DUNEDIN, FL, 34698
DR. SANJIE JACKSON Manager 3955 MORAN ROAD, TAMPA, FL, 33618

National Provider Identifier

NPI Number:
1770309726
Certification Date:
2024-11-25

Authorized Person:

Name:
NIKKI BLANTON
Role:
INSURANCE COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
7277381466

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-01 CENTER COURT, 1659 ACHIEVA WAY, SUITE #128, DUNEDIN, FL 34698 -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-02-27
Florida Limited Liability 2022-11-18

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Date of last update: 03 Jun 2025

Sources: Florida Department of State