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AFFORDABLE DENTURES - GAINESVILLE, P.A.

Company Details

Entity Name: AFFORDABLE DENTURES - GAINESVILLE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 May 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Mar 2020 (5 years ago)
Document Number: P04000075883
FEI/EIN Number 201011283
Mail Address: 629 Davis Drive, Morrisville, NC, 27560, US
Address: 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL, 32606
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114065059 2007-02-02 2020-08-22 4401 NW 25TH PL STE G, GAINESVILLE, FL, 326066569, US 4401 NW 25TH PL STE G, GAINESVILLE, FL, 326066569, US

Contacts

Phone +1 352-376-8229

Authorized person

Name DR. STEPHAN SHOWSTARK
Role OWNER
Phone 3523768229

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 6996
State FL
Is Primary Yes

Agent

Name Role
NATIONAL REGISTERED AGENTS, INC. Agent

President

Name Role Address
SHOWSTARK STEPHAN M President 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL, 32606

Director

Name Role Address
SHOWSTARK STEPHAN M Director 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL, 32606

Asst

Name Role Address
GAINES BRETT Asst 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL, 32606

Secretary

Name Role Address
ANNA LASSETER Secretary 629 Davis Drive, Morrisville, NC, 27560

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000071262 AFFORDABLE DENTURES - GAINESVILLE, P.A. ACTIVE 2020-06-23 2025-12-31 No data 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-03-30 No data No data
CHANGE OF MAILING ADDRESS 2020-03-30 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL 32606 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2015-04-23 National Registered Agents, Inc. No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-05 9200 NW 39TH AVE, STE 200, GAINESVILLE, FL 32606 No data
REGISTERED AGENT ADDRESS CHANGED 2011-02-11 1200 South Pine Island Road, Plantation, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-04-27
REINSTATEMENT 2020-03-30
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State