| Entity Name: | AFFORDABLE DENTURES - LAKELAND, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Oct 2007 (17 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P07000113529 |
| FEI/EIN Number | 261182616 |
| Mail Address: | PO BOX 1042, KINSTON, NC, 28503, US |
| Address: | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL, 33803, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174827901 | 2011-01-09 | 2011-01-09 | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL, 338034808, US | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL, 338034808, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 863-701-7404 |
| Fax | 8637017580 |
Authorized person
| Name | THACH V PHAM |
| Role | OWNER |
| Phone | 8637017404 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PHAM THACH VDr. | President | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| PHAM THACH VDr. | Director | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| STEELMAN PAUL | Treasurer | 1400 INDUSTRIAL DRIVE, KINSTON, NC, 28504 |
| Name | Role | Address |
|---|---|---|
| Slezak David | Secretary | 5430 Wade Park Blvd., Suite 310, Raleigh, NC, 27607 |
| Name | Role | Address |
|---|---|---|
| Ammons Randal GDr. | Asst | 5430 Wade Park Blvd., Suite 310, Raleigh, NC, 27607 |
| Rodriguez-LeBron Annette | Asst | 1400 Industrial Drive, Kinston, NC, 28504 |
| Miller Kathy V | Asst | 5430 Wade Park Blvd., Suite 310, Raleigh, NC, 27607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | National Registered Agents, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-07 | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-07 | 3615 S FLORIDA AVE STE 1230, LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-09 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-05 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-11 |
| Reg. Agent Change | 2009-06-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
