| Entity Name: | AFFORDABLE DENTURES-WEST PALM BEACH, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Sep 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Mar 2020 (5 years ago) |
| Document Number: | P06000119237 |
| FEI/EIN Number | 205560496 |
| Mail Address: | 629 Davis Drive, Morrisville, NC, 27560, US |
| Address: | 6076 OKEECHOBEE BLVD STE 20, W PALM BCH, FL, 33417 |
| ZIP code: | 33417 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811130032 | 2009-04-17 | 2009-04-17 | 6076 OKEECHOBEE BLVD, SUITE 20, COLLEGE PLAZA, WEST PALM BEACH, FL, 334174351, US | 6076 OKEECHOBEE BLVD, SUITE 20, COLLEGE PLAZA, WEST PALM BEACH, FL, 334174351, US | |||||||||||||||||
|
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| Phone | +1 561-687-1360 |
Authorized person
| Name | GUST G KAPETAN |
| Role | OWNER |
| Phone | 5616871360 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17058 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KAPETAN GUST GDDS | President | 6076 OKEECHOBEE BLVD STE 20, W PALM BCH, FL, 33417 |
| Name | Role | Address |
|---|---|---|
| GAINES BRETT | Asst | 629 Davis Drive, Morrisville, NC, 27560 |
| Name | Role | Address |
|---|---|---|
| Lasseter Anna | Secretary | 629 Davis Drive, Morrisville, NC, 27560 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000071275 | AFFORDABLE DENTURES & IMPLANTS - WEST PALM BEACH | ACTIVE | 2020-06-23 | 2025-12-31 | No data | 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-03-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-30 | 6076 OKEECHOBEE BLVD STE 20, W PALM BCH, FL 33417 | 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 |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-28 |
| REINSTATEMENT | 2020-03-30 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
