| Entity Name: | SUMTER DENTAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Feb 2009 (16 years ago) |
| Document Number: | P09000012221 |
| FEI/EIN Number | 264220810 |
| Address: | 410 D EAST BELT AVENUE, BUSHNELL, FL, 33513 |
| Mail Address: | P.O. BOX 295, BUSHNELL, FL, 33513 |
| ZIP code: | 33513 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306397450 | 2016-10-24 | 2016-10-24 | 410 E BELT AVE STE D, BUSHNELL, FL, 335135208, US | 410 E BELT AVE STE D, BUSHNELL, FL, 335135208, US | |||||||||||||||
|
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| Phone | +1 352-569-4962 |
Authorized person
| Name | TEARSA M SMITH |
| Role | OFFICE MANAGER |
| Phone | 3525690100 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOVAK JOSEPH B | Agent | 77 CR 542 W, BUSHNELL, FL, 33513 |
| Name | Role | Address |
|---|---|---|
| NOVAK JOSEPH B | President | 77 CR 542 W, BUSHNELL, FL, 33513 |
| Name | Role | Address |
|---|---|---|
| NOVAK JOSEPH B | Vice President | 77 CR 542 W, BUSHNELL, FL, 33513 |
| Name | Role | Address |
|---|---|---|
| NOVAK JOSEPH B | Secretary | 77 CR 542 W, BUSHNELL, FL, 33513 |
| Name | Role | Address |
|---|---|---|
| NOVAK JOSEPH B | Treasurer | 77 CR 542 W, BUSHNELL, FL, 33513 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000101041 | SUMTER VALUE DENTAL | ACTIVE | 2016-09-14 | 2026-12-31 | No data | SUMTER DENTAL CENTER, P.A., P.O. BOX 295, BUSHNELL, FL, 33513 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-18 | 77 CR 542 W, BUSHNELL, FL 33513 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-02-22 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-01-27 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
