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  5. W. ROGER LONG, D.D.S., P.A.

W. ROGER LONG, D.D.S., P.A. - Florida Company Profile

Company Details

Entity Name: W. ROGER LONG, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

W. ROGER LONG, D.D.S., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 01 Mar 2001 (24 years ago)
Document Number: P01000023143
FEI/EIN Number 651076951

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1511 SOUTH 25TH STREET, FT PIERCE, FL, 34947, US
Mail Address: 1511 SOUTH 25TH STREET, FT PIERCE, FL, 34947, US
ZIP code: 34947
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932602661 2018-03-08 2018-03-08 1511 S 25TH ST, FORT PIERCE, FL, 349474779, US 1511 S 25TH ST, FORT PIERCE, FL, 349474779, US

Contacts
Phone +1 772-464-2943
Fax 7724648801

Authorized person
Name DR. W.ROGER LONG
Role OWNER
Phone 7724642943

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 9663
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W. ROGER LONG, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2023 651076951 2024-09-26 W. ROGER LONG, D.D.S., P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, FORT PIERCE, FL, 34947
W. ROGER LONG, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2022 651076951 2023-09-19 W. ROGER LONG, D.D.S., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, FORT PIERCE, FL, 34947
W. ROGER LONG, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2021 651076951 2022-09-01 W. ROGER LONG, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, FORT PIERCE, FL, 34947
W. ROGER LONG, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2020 651076951 2021-10-12 W. ROGER LONG, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, FORT PIERCE, FL, 34947
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2019 651076951 2020-10-08 W. ROGER LONG, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2018 651076951 2019-10-10 W. ROGER LONG, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2017 651076951 2018-09-28 W. ROGER LONG, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2016 651076951 2017-10-14 W. ROGER LONG, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2017-10-14
Name of individual signing W ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-14
Name of individual signing W ROGER LONG
Valid signature Filed with authorized/valid electronic signature
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2015 651076951 2016-10-11 W. ROGER LONG, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
W. ROGER LONG, D.D.S., P.A., 401(K) PROFIT SHARING PLAN 2014 651076951 2015-10-06 W. ROGER LONG, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 7724642943
Plan sponsor’s address 1511 SOUTH 25TH STREET, SUITE A, FORT PIERCE, FL, 349474779

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing W. ROGER LONG
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LONG W R Director 1511 S 25 STREET, FORT PIERCE, FL, 34947
Moore John III Agent 3240 Cardinal Drive, VERO BEACH, FL, 32963

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000153987 SMOOTH SAILING DENTAL ACTIVE 2021-11-17 2026-12-31 - W. ROGER LONG, DDS, PA, 1511 SOUTH 25TH STREET, FORT PIERCE, FL, 34947

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-03-10 1511 SOUTH 25TH STREET, FT PIERCE, FL 34947 -
CHANGE OF MAILING ADDRESS 2018-03-10 1511 SOUTH 25TH STREET, FT PIERCE, FL 34947 -
REGISTERED AGENT NAME CHANGED 2015-03-24 Moore, John, III -
REGISTERED AGENT ADDRESS CHANGED 2015-03-24 3240 Cardinal Drive, STE 200, VERO BEACH, FL 32963 -

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-03-15
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-03-07
ANNUAL REPORT 2016-02-18
ANNUAL REPORT 2015-03-24

Companies related by officers

No other companies in our directory share the same officers as W. ROGER LONG, D.D.S., P.A.

Companies related by address

No other companies in our directory share the same address as W. ROGER LONG, D.D.S., P.A.

Date of last update: 01 May 2025

Sources: Florida Department of State

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