| Entity Name: | COASTLINE DENTAL IMPLANTS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jul 2024 (7 months ago) |
| Document Number: | L24000315898 |
| Address: | 15300 S JOG RD, SUITE 211, DELRAY BEACH, FL 33446 |
| Mail Address: | 15300 S JOG RD, SUITE 211, DELRAY BEACH, FL 33446 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629800263 | 2024-08-14 | 2024-08-14 | 15300 S JOG RD STE 210, DELRAY BEACH, FL, 334462166, US | 15300 S JOG RD STE 211, DELRAY BEACH, FL, 334462166, US | |||||||||||||||
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| Phone | +1 239-530-8165 |
| Phone | +1 561-499-6664 |
Authorized person
| Name | ASHTON DAHMS |
| Role | PRESIDENT |
| Phone | 2395308165 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAHMS, ASHTON | Agent | 15300 S JOG RD, SUITE 211, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| DAHMS, ASHTON | Manager | 15300 S JOG RD SUITE 211, DELRAY BEACH, FL 33446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000086969 | COASTLINE DENTAL IMPLANTS | ACTIVE | 2024-07-20 | 2029-12-31 | No data | 15300 S JOG RD SUITE 210, DELRAY BEACH, FL, 33446 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-16 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
