| Entity Name: | OCEAN SMILES DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Feb 2023 (2 years ago) |
| Document Number: | L23000103086 |
| FEI/EIN Number | 92-3920393 |
| Mail Address: | 8255 N WICKHAM RD, SUITE 103, MELBOURNE, FL 32940 |
| Address: | 2105 Palm Bay Rd NE 5W, Palm Bay, FL 32905 |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669166575 | 2023-06-05 | 2023-06-16 | 2105 PALM BAY RD NE STE 4-5, PALM BAY, FL, 329052937, US | 2105 PALM BAY RD NE STE 4-5, PALM BAY, FL, 329052937, US | |||||||||||||||
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| Phone | +1 321-725-7644 |
| Fax | 3217255305 |
Authorized person
| Name | KERI MILLER |
| Role | OFFICE MANAGER |
| Phone | 3217257644 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOUK, VALORIE | Agent | 8255 N WICKHAM RD, SUITE 103, MELBOURNE, FL 32940 |
| Name | Role | Address |
|---|---|---|
| HOUK, VALORIE | Manager | 8255 N WICKHAM RD, SUITE 103, MELBOURNE, FL 32940 |
| Great Life and Associates | Manager | 108 Wimico Dr, Indian Harbour Beach, FL 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 2105 Palm Bay Rd NE 5W, Palm Bay, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-02-04 |
| Florida Limited Liability | 2023-02-27 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
