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MASTER DENTAL PA

Company Details

Entity Name: MASTER DENTAL PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Jun 2007 (18 years ago)
Document Number: P07000066737
FEI/EIN Number 113815530
Address: 1035 STATE ROAD 7, SUITE 310, WELLINGTON, FL, 33414
Mail Address: 1035 STATE ROAD 7, SUITE 310, WELLINGTON, FL, 33414
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265840961 2014-07-25 2014-07-25 1035 S STATE ROAD 7, SUITE 310, WELLINGTON, FL, 334146134, US 1035 S STATE ROAD 7, SUITE 310, WELLINGTON, FL, 334146134, US

Contacts

Phone +1 561-795-7133
Fax 5617957670

Authorized person

Name DR. JANICE MASTER
Role OWNER
Phone 5617957133

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
License Number DN16571
State FL
Is Primary Yes

Agent

Name Role Address
MASTER JANICE Agent 9001 Gulf Cove Drive, Lake Worth, FL, 33467

President

Name Role Address
Master Janice President 9001 Gulf Cove Drive, Lake Worth, FL, 33467

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000039420 MASTER ENDODONTICS OF WELLINGTON EXPIRED 2019-03-26 2024-12-31 No data 1035 STATE ROAD 7, SUITE 310, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-05-03 9001 Gulf Cove Drive, Lake Worth, FL 33467 No data
CHANGE OF PRINCIPAL ADDRESS 2009-02-09 1035 STATE ROAD 7, SUITE 310, WELLINGTON, FL 33414 No data
CHANGE OF MAILING ADDRESS 2009-02-09 1035 STATE ROAD 7, SUITE 310, WELLINGTON, FL 33414 No data

Documents

Name Date
ANNUAL REPORT 2024-01-20
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-08
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-05-03
ANNUAL REPORT 2017-02-10
AMENDED ANNUAL REPORT 2016-08-22
ANNUAL REPORT 2016-02-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State