| Entity Name: | AFFORDABLE DENTURES - DAYTONA BEACH, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Aug 2007 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Sep 2018 (6 years ago) |
| Document Number: | P07000089870 |
| FEI/EIN Number | 26-0591393 |
| Address: | 1173 W INTERNATIONAL SPEEDWAY BLVD UNIT 11, DAYTONA BEACH, FL 32114 |
| Mail Address: | 629 Davis Drive, Ste 300, Morrisville, NC 27560 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538302625 | 2009-04-20 | 2009-04-20 | 1116B BEVILLE RD, VILLAGE PLAZA, DAYTONA BEACH, FL, 321145743, US | 1116B BEVILLE RD, VILLAGE PLAZA, DAYTONA BEACH, FL, 321145743, US | |||||||||||||||||
|
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| Phone | +1 386-226-2268 |
Authorized person
| Name | ROLLINS CLARY |
| Role | OWNER |
| Phone | 3862262268 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17796 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CLARY, ROLLINS L, DMD | President | 1173 W INTERNATIONAL SPEEDWAY BLVD UNIT 11, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| Gaines, Brett | Asst. Secretary | 1173 W INTERNATIONAL SPEEDWAY BLVD UNIT 11, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| LASSETER, ANNA | SECRETARY | 629 Davis Drive, Ste 300 Morrisville, NC 27560 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000112068 | AFFORDABLE DENTURES & IMPLANTS - DAYTONA BEACH | ACTIVE | 2020-08-28 | 2025-12-31 | No data | 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-27 | 1173 W INTERNATIONAL SPEEDWAY BLVD UNIT 11, DAYTONA BEACH, FL 32114 | No data |
| AMENDMENT | 2018-09-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-09-10 | 1173 W INTERNATIONAL SPEEDWAY BLVD UNIT 11, DAYTONA BEACH, FL 32114 | 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 | 2024-01-08 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-06-14 |
| Amendment | 2018-09-10 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
