| Entity Name: | GENESIS DENTAL GROUP SMILES ON 11TH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Jun 2017 (8 years ago) |
| Branch of: | GENESIS DENTAL GROUP SMILES ON 11TH, LLC, ALABAMA (Company Number 000-391-985) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | M17000005744 |
| FEI/EIN Number |
821813622
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3150 ZELDA CT., MONTGOMERY, AL, 36106, US |
| Mail Address: | 3150 ZELDA CT., MONTGOMERY, AL, 36106, US |
| Place of Formation: | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629598750 | 2017-06-20 | 2017-06-20 | 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US | 1010 W 11TH ST, PANAMA CITY, FL, 324012042, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 334-676-2320 |
| Fax | 3345932724 |
| Phone | +1 850-763-3622 |
Authorized person
| Name | SUSAN STEWART |
| Role | MANAGER |
| Phone | 3346762320 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GENESIS DENTAL MANAGEMENT, LLC | Agent | - |
| Waters Forrest Dr. | Auth | 3150 ZELDA CT., MONTGOMERY, AL, 36106 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REINSTATEMENT | 2019-11-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-22 | 3150 ZELDA CT., MONTGOMERY, AL 36106 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-22 | 707 Jenks Ave, Panama City, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2019-11-22 | 3150 ZELDA CT., MONTGOMERY, AL 36106 | - |
| REGISTERED AGENT NAME CHANGED | 2019-11-22 | Genesis Dental Management, LLC | - |
| REVOKED FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-11-22 |
| ANNUAL REPORT | 2018-04-16 |
| Foreign Limited | 2017-06-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
