| Entity Name: | ROBERT J. SHELLING, DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 2007 (17 years ago) |
| Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 13 Nov 2007 (17 years ago) |
| Document Number: | P07000121907 |
| FEI/EIN Number | 261365336 |
| Mail Address: | 4150 Georges Way, BOCA RATON, FL, 33434, US |
| Address: | 19615-33 S. STATE RD. 7, BOCA RATON, FL, 33498 |
| ZIP code: | 33498 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518619469 | 2022-01-21 | 2022-01-21 | 19615 STATE ROAD 7 STE 33, BOCA RATON, FL, 334984700, US | 19615 STATE ROAD 7 STE 33, BOCA RATON, FL, 334984700, US | |||||||||||||||
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| Phone | +1 561-477-4844 |
| Fax | 5617501021 |
Authorized person
| Name | FAITH GASKINS |
| Role | DIRECTOR OF CREDENTIALING |
| Phone | 9728693789 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHELLING ROBERT J | Agent | 4150 Georges Way, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| SHELLING ROBERT J | President | 4150 Georges Way, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-22 | 19615-33 S. STATE RD. 7, BOCA RATON, FL 33498 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-22 | 4150 Georges Way, BOCA RATON, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-18 | 19615-33 S. STATE RD. 7, BOCA RATON, FL 33498 | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2007-11-13 | ROBERT J. SHELLING, DMD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-05-17 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-02-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3676008310 | 2021-01-22 | 0455 | PPS | 17207 Shaddock Ln, Boca Raton, FL, 33487-1143 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6843627205 | 2020-04-28 | 0455 | PPP | 17207 Shaddock Lane, Boca Raton, FL, 33498 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
