| Entity Name: | GREENE DENTAL MANAGEMENT, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2024 (8 months ago) |
| Document Number: | L24000256772 |
| Mail Address: | 2348 RIVERDALE COURT, OVIEDO, FL, 32765, US |
| Address: | 1021 S RIDGEWOOD AVENUE, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306663059 | 2024-09-24 | 2024-09-24 | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 321146151, US | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 321146151, US | |||||||||||||
|
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| Phone | +1 386-304-2677 |
Authorized person
| Name | STEPHEN GREENE |
| Role | OWNER |
| Phone | 8502511643 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ERIC S. HAUG LAW & CONSULTING, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| GREENE STEPHEN | Authorized Member | 1021 S RIDGEWOOD AVENUE, DAYTONA BEACH, FL, 32114 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000124631 | DAYTONA PEDIATRIC DENTISTRY | ACTIVE | 2024-10-07 | 2029-12-31 | No data | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114 |
| G24000122236 | GREENE PEDIATRIC DENTISTRY | ACTIVE | 2024-09-30 | 2029-12-31 | No data | 1021 SOUTH RIDGEWOOD AVENUE, DAYTONA BEACH, FL, 32114 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
