| Entity Name: | WEBSTER FAMILY DENTISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Mar 2020 (5 years ago) |
| Document Number: | P07000057334 |
| FEI/EIN Number | 260185892 |
| Address: | 5371 GLOVER LANE, MILTON, FL, 32570, US |
| Mail Address: | 5371 GLOVER LANE, MILTON, FL, 32570, US |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285831776 | 2007-06-28 | 2020-08-22 | 5371 GLOVER LN, MILTON, FL, 325704104, US | 5371 GLOVER LN, MILTON, FL, 325704104, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-623-0379 |
| Fax | 8506239607 |
Authorized person
| Name | DR. DOUGLAS A WEBSTER |
| Role | PRESIDENT |
| Phone | 8506230379 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED CONCORDIA |
| Number | 577562 |
| State | FL |
| Issuer | COMPBENEFITS |
| Number | 183591 |
| State | FL |
| Issuer | ATLANTIC DENTAL INC |
| Number | 40335 |
| State | FL |
| Issuer | BCBS OF FL |
| Number | 66032 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEBSTER Andrew J | Agent | 5371 GLOVER LANE, MILTON, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| WEBSTER DOUGLAS ADr. | Director | 5679 Berryhill Rd, MILTON, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| Webster Jolynda H | Secretary | 5679 Berryhill Rd, Milton, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| WEBSTER ANDREW JDR. | President | 5371 GLOVER LANE, MILTON, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| Webster Jay DDr. | Vice President | 5371 GLOVER LANE, MILTON, FL, 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-09 | WEBSTER, Andrew J | No data |
| AMENDMENT | 2020-03-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-10 | 5371 GLOVER LANE, MILTON, FL 32570 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-10 | 5371 GLOVER LANE, MILTON, FL 32570 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-12 |
| Amendment | 2020-03-06 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
