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DIGITAL AESTHETIC DENTISTRY, PLLC - Florida Company Profile

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Company Details

Entity Name: DIGITAL AESTHETIC DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Aug 2024 (a year ago)
Document Number: L24000375740
FEI/EIN Number 994746403
Address: 10915 BAYMEADOWS ROAD, #106, JACKSONVILLE, FL, 32256, US
Mail Address: 200 SOLANA ROAD, SUITE A, PONTE VEDRA BEACH, FL, 32082, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BOLTON JAMES WIII Manager 200 SOLANA ROAD, SUITE A, PONTE VEDRA BEACH, FL, 32082
ROCK SOLID LAW Agent 220 PONTE VEDRA PARK DRIVE, PONTE VEDRA BEACH, FL, 32082

National Provider Identifier

NPI Number:
1396553038
Certification Date:
2024-12-27

Authorized Person:

Name:
DR. NICHOLAS JAMES CLAYTON
Role:
DENTIST, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-08-27

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Date of last update: 01 Aug 2025

Sources: Florida Department of State