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SUPRADENT, INC.

Company Details

Entity Name: SUPRADENT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 Jan 2005 (20 years ago)
Date of dissolution: 25 Sep 2009 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (15 years ago)
Document Number: P05000005275
FEI/EIN Number 202146938
Address: 862 SHELLBARK WAY, THE VILLAGES, FL, 32162
Mail Address: 862 SHELLBARK WAY, THE VILLAGES, FL, 32162
ZIP code: 32162
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932276565 2006-11-29 2020-08-22 18515 US HWY 441, MOUNT DORA, FL, 327576703, US 18515 US HWY 441, MOUNT DORA, FL, 327576703, US

Contacts

Phone +1 352-383-5377
Fax 3523832513

Authorized person

Name DR. JAMES P COSTELLO
Role PRESIDENT
Phone 3524081400

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
COSTELLO JAMES P Agent 862 SHELLBARK WAY, THE VILLAGS, FL, 32162

Director

Name Role Address
COSTELLO JAMES P Director 862 SHELLBARK WAY, THE VILLAGES, FL, 32162

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-18 862 SHELLBARK WAY, THE VILLAGES, FL 32162 No data
CHANGE OF MAILING ADDRESS 2008-04-18 862 SHELLBARK WAY, THE VILLAGES, FL 32162 No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-18 862 SHELLBARK WAY, THE VILLAGS, FL 32162 No data

Documents

Name Date
ANNUAL REPORT 2008-04-18
ANNUAL REPORT 2007-04-25
ANNUAL REPORT 2006-05-22
Domestic Profit 2005-01-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State