| Entity Name: | LT DENTAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2023 (2 years ago) |
| Document Number: | L23000302427 |
| FEI/EIN Number | 93-2444035 |
| Address: | 4326 State Road 64 E, Bradenton, FL, 34208, US |
| Mail Address: | 4326 State Road 64 E, Bradenton, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205654514 | 2024-09-26 | 2024-09-26 | 8437 DOVE BOG TER, PARRISH, FL, 342195539, US | 4326 E STATE ROAD 64, BRADENTON, FL, 342089000, US | |||||||||||||
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| Phone | +1 941-525-2795 |
Authorized person
| Name | LEO TRAN |
| Role | OWNER |
| Phone | 9415252795 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRAN LEO | Agent | 8437 DOVE BOG TER, PARRISH, FL, 34219 |
| Name | Role | Address |
|---|---|---|
| TRAN LEO DR | Manager | 8437 DOVE BOG TER, PARRISH, FL, 34219 |
| Huynh Trish | Manager | 8437 DOVE BOG TER, PARRISH, FL, 34219 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000023122 | DREAM SMILE DENTAL | ACTIVE | 2024-02-10 | 2029-12-31 | No data | 4326 STATE RD 64 E, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-13 | 4326 State Road 64 E, Bradenton, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-13 | 4326 State Road 64 E, Bradenton, FL 34208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| Florida Limited Liability | 2023-06-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
