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PERIODONTAL & IMPLANT DENTISTRY, INC.

Company Details

Entity Name: PERIODONTAL & IMPLANT DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 25 Sep 2000 (24 years ago)
Document Number: P00000090546
FEI/EIN Number 65-1041952
Address: 1390 9th Street North, NAPLES, FL 34102
Mail Address: 1390 9th Street North, NAPLES, FL 34102
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245851195 2020-05-01 2020-05-01 1390 9TH ST N, NAPLES, FL, 341025203, US 1390 9TH ST N, NAPLES, FL, 341025203, US

Contacts

Phone +1 239-213-1500

Authorized person

Name BRADLEY ENGLE
Role OWNER
Phone 2392131500

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
ENGLE, BRADLEY J Agent 1390 9th Street North, NAPLES, FL 34102

President

Name Role Address
ENGLE, BRADLEY President 1390 9th Street North, NAPLES, FL 34102

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000110492 ENGLE DENTISTRY ACTIVE 2010-12-04 2025-12-31 No data 5659 NAPLES BLVD, NAPLES, FL, 34109
G08154900197 ENGLE IMPLANT DENTISTRY EXPIRED 2008-06-01 2013-12-31 No data 5659 NAPLES BLVD, NAPLES, FL, 34109

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-17 1390 9th Street North, NAPLES, FL 34102 No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-06 1390 9th Street North, NAPLES, FL 34102 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-06 1390 9th Street North, NAPLES, FL 34102 No data
REGISTERED AGENT NAME CHANGED 2008-01-06 ENGLE, BRADLEY J No data

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-04-02
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-02-09
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-03-17
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-03-13
ANNUAL REPORT 2015-03-10

Date of last update: 31 Jan 2025

Sources: Florida Department of State