| Entity Name: | DIVERGENT DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Jun 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | M20000005144 |
| FEI/EIN Number |
844919448
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 111 S Albany Suite 100, Tampa, FL, 33606, US |
| Mail Address: | 111 S Albany Suite 100, Tampa, FL, 33606, US |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497379259 | 2020-06-07 | 2020-06-10 | 1861 PLACIDA RD STE 105, ENGLEWOOD, FL, 342234900, US | 1861 PLACIDA RD STE 105, ENGLEWOOD, FL, 342234900, US | |||||||||||||
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| Phone | +1 941-460-3565 |
Authorized person
| Name | DR. GEORGE STRICKLAND |
| Role | OWNER |
| Phone | 9412131007 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIVERGENT DENTAL GROUP, LLC WELFARE BENEFIT PLAN | 2023 | 844962567 | 2024-06-11 | DIVERGENT DENTAL GROUP, LLC | 113 | |||||||||||||||||||||||||||||||||||||||
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| Active participants | 106 |
| Retired or separated participants receiving benefits | 1 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-11 |
| Name of individual signing | LISA SAUCEDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-06-11 |
| Name of individual signing | LISA SAUCEDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STRICKLAND GEORGE | Managing Member | 437 WEBBS COVE, OSPREY, FL, 34229 |
| Evanger Jim | Chief Executive Officer | 3917 Riga Blvd, Tampa, FL, 33619 |
| Schiaparelli Nancy | Agent | 111 S Albany Suite 100, Tampa, FL, 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000036956 | ORTEGA BOULEVARD DENTAL | ACTIVE | 2024-03-13 | 2029-12-31 | - | 5417 ORTEGA BOULEVARD, JACKSONVILLE, FL, 32210 |
| G23000123588 | SHORE DENTAL PARTNERS | ACTIVE | 2023-10-05 | 2028-12-31 | - | 3917 RIGA BOULEVARD, TAMPA, FL, 33619 |
| G23000086358 | SMILECREATOR OF BONITA | ACTIVE | 2023-07-24 | 2028-12-31 | - | 3917 RIGA BLVD, TAMPA, FL, 33619 |
| G22000070831 | PREMIER ORAL & FACIAL SURGERY | ACTIVE | 2022-06-10 | 2027-12-31 | - | 13571 NARCOOSSEE RD., STE A, ORLANDO, FL, 32832 |
| G22000069422 | LAKELAND OAKS DENTAL | ACTIVE | 2022-06-07 | 2027-12-31 | - | 3917 RIGA BLVD, TAMPA, FL, 33619 |
| G22000042197 | BONITA PRIME DENTAL | ACTIVE | 2022-04-04 | 2027-12-31 | - | 8951 BONITA BEACH RD., #206, BONITA SPRINGS, FL, 34135 |
| G22000042198 | MARCO ISLAND PRIME DENTAL | ACTIVE | 2022-04-04 | 2027-12-31 | - | 950 N. COLLIER BLVD., STE. 305, MARCO ISLAND, FL, 34145 |
| G22000042204 | PRIME CHILDREN'S DENTISTRY & ORTHODONTICS | ACTIVE | 2022-04-04 | 2027-12-31 | - | 8951 BONITA BEACH RD., #220, BONITA SPRINGS, FL, 34135 |
| G22000042196 | VENICE PRIME DENTAL | ACTIVE | 2022-04-04 | 2027-12-31 | - | 1515 TAMIAMI TRAIL, STE. 3, VENICE, FL, 34285 |
| G21000157356 | DR. RITTENBERG & ASSOCIATES | ACTIVE | 2021-11-29 | 2026-12-31 | - | 5417 ORTEGA BLVD., JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 111 S Albany Suite 100, Tampa, FL 33606 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-15 | 111 S Albany Suite 100, Tampa, FL 33606 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-15 | 111 S Albany Suite 100, Tampa, FL 33606 | - |
| REGISTERED AGENT NAME CHANGED | 2023-09-29 | Schiaparelli, Nancy | - |
| REINSTATEMENT | 2023-09-29 | - | - |
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | - | - |
| LC AMENDMENT | 2020-06-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| REINSTATEMENT | 2023-09-29 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-01 |
| LC Amendment | 2020-06-24 |
| Foreign Limited | 2020-06-09 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
