| Entity Name: | MCALPIN DENTAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Dec 2008 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Mar 2017 (8 years ago) |
| Document Number: | P08000109205 |
| FEI/EIN Number | 263895632 |
| Mail Address: | 1563 Kingsley Ave, ORANGE PARK, FL, 32073, US |
| Address: | 1563 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336449545 | 2010-10-22 | 2010-10-22 | 2301 PARK AVE, SUITE 201, ORANGE PARK, FL, 32073, US | 2301 PARK AVE, SUITE 201, ORANGE PARK, FL, 32073, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-269-1048 |
| Fax | 9042690109 |
Authorized person
| Name | DR. RYAN D MCALPIN |
| Role | GENERAL DENTIST |
| Phone | 9042691048 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN8008 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN18278 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN10773 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI ENUMERAATOR |
| Number | 1194975219 |
| State | FL |
| Issuer | NPI ENUMERATOR |
| Number | 1710901046 |
| State | FL |
| Issuer | NPI ENUMERATOR |
| Number | 1770634222 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCALPIN KELLY E | Agent | 1563 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| MCALPIN RYAN D | President | 1563 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| MCALPIN RYAN D | Chairman | 1563 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| mcalpin kelly | Chief Financial Officer | 1563 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-03-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-24 | 1563 KINGSLEY AVE, 107, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-24 | 1563 KINGSLEY AVE, 107, ORANGE PARK, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-15 | 1563 KINGSLEY AVE, 107, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-17 | MCALPIN, KELLY E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-03-10 |
| ANNUAL REPORT | 2018-03-03 |
| Amendment | 2017-03-23 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
