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BOCA RATON DENTAL SPECIALISTS PLLC - Florida Company Profile

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Company Details

Entity Name: BOCA RATON DENTAL SPECIALISTS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Nov 2022 (3 years ago)
Document Number: L22000504546
FEI/EIN Number 88-4353935
Address: 19615 STATE ROAD 7, SUITE 34, BOCA RATON, FL, 33498, US
Mail Address: 19615 STATE ROAD 7, SUITE 34, BOCA RATON, FL, 33498, US
ZIP code: 33498
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHELLING ROBERT Manager 19615 STATE ROAD 7, SUITE 34, BOCA RATON, FL, 33498
DeButy John A Tax 2403 Lacy Lane, Carrollton, TX, 75006
PUCKETT JUSTIN Agent 19615 STATE ROAD 7, Boca Raton, FL, 33498

National Provider Identifier

NPI Number:
1477265056
Certification Date:
2023-06-30

Authorized Person:

Name:
JULIE ROLLINS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000151079 BOCA RATON ORAL SURGERY SPECIALISTS ACTIVE 2022-12-08 2027-12-31 - 19615 STATE ROAD 7, SUITE 34, BOCA RATON, FL, 33498

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-30 19615 STATE ROAD 7, SUITE 34, Boca Raton, FL 33498 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-01-19
Florida Limited Liability 2022-11-30

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Date of last update: 02 Aug 2025

Sources: Florida Department of State