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THE SMILE SOCIETY, PLLC - Florida Company Profile

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Company Details

Entity Name: THE SMILE SOCIETY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Aug 2024 (a year ago)
Document Number: L24000340288
FEI/EIN Number 99-4453637
Address: 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258, US
Mail Address: 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DWANN BROWN KENJULA Authorized Member 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258
DWANN BROWN KENJULA Agent 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258

National Provider Identifier

NPI Number:
1528853751
Certification Date:
2025-04-09

Authorized Person:

Name:
DR. KENJULA BROWN
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000022230 THE SMILE SOCIETY DENTAL STUDIO ACTIVE 2025-02-13 2030-12-31 - 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258

Documents

Name Date
Florida Limited Liability 2024-08-01

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Date of last update: 03 Aug 2025

Sources: Florida Department of State