| Entity Name: | CWD DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Aug 2023 (a year ago) |
| Document Number: | L23000378371 |
| FEI/EIN Number | 93-2898145 |
| Address: | 2929 KERRY FOREST PARKWAY, TALLAHASSEE, FL, 32309, US |
| Mail Address: | 2929 KERRY FOREST PARKWAY, TALLAHASSEE, FL, 32309, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730931064 | 2024-04-02 | 2024-04-02 | 3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084425, US | 3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084425, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-895-3411 |
Authorized person
| Name | ANGIE KAYE HOLLIFIELD |
| Role | BUSINESS MANAGER |
| Phone | 8504911920 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHESTNUT BUSINESS SERVICE, LLC. | Agent | 490 FIRST AVENUE SOUTH, SUITE 700, ST. PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| WOODS JACOB DMD | Manager | 2929 KERRY FOREST PARKWAY, TALLAHASSEE, FL, 32309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-12 |
| Florida Limited Liability | 2023-08-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
