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  5. MENENDEZ DENTAL ASSOCIATES, P.A.

MENENDEZ DENTAL ASSOCIATES, P.A.

Company Details

Entity Name: MENENDEZ DENTAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Sep 2010 (14 years ago)
Document Number: P10000077999
FEI/EIN Number 273565023
Address: 3721 sw 107 ave, MIAMI, fl, 33165, UN
Mail Address: 3721 sw 107 ave, MIAMI, fl, 33165, UN
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811448780 2016-10-17 2024-01-08 3721 SW 107TH AVE, MIAMI, FL, 331653638, US 3721 SW 107TH AVE, MIAMI, FL, 331653638, US

Contacts
Phone +1 305-226-7135

Authorized person
Name JORGE MENENDEZ
Role OWNER
Phone 3052267135

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number DN17325
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 003070600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2023 273565023 2024-07-11 MENENDEZ DENTAL ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 3721 SW 107TH AVE, MIAMI, FL, 331653638

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2022 273565023 2023-07-06 MENENDEZ DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 3721 SW 107TH AVE, MIAMI, FL, 331653638

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2021 273565023 2022-11-16 MENENDEZ DENTAL ASSOCIATES, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2022-11-16
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 2020 273565023 2021-10-05 MENENDEZ DENTAL ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2019 273565023 2020-07-15 MENENDEZ DENTAL ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2018 273565023 2019-07-31 MENENDEZ DENTAL ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2017 273565023 2018-10-10 MENENDEZ DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2016 273565023 2017-10-09 MENENDEZ DENTAL ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2015 273565023 2016-09-21 MENENDEZ DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature
MENENDEZ DENTAL ASSOCIATES, P.A. 401(K) PLAN 2014 273565023 2015-10-11 MENENDEZ DENTAL ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 3052267135
Plan sponsor’s address 11395 SW 40TH ST, MIAMI, FL, 331654420

Signature of
Role Plan administrator
Date 2015-10-11
Name of individual signing CRISTY MENENDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MENENDEZ JORGE Agent 3721 SW 107 Ave, Miami, FL, 33165

President

Name Role Address
MENENDEZ JORGE President 3721 SW 107 Ave, Miami, FL, 33165

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-12 3721 SW 107 Ave, Miami, FL 33165 No data
CHANGE OF PRINCIPAL ADDRESS 2022-01-25 3721 sw 107 ave, MIAMI, fl 33165 UN No data
CHANGE OF MAILING ADDRESS 2022-01-25 3721 sw 107 ave, MIAMI, fl 33165 UN No data

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-04-01

Related by officers

MENENDEZ JORGE

DANGEROUS GOODS R US CORP UNIQUE CAR WASH INC. INTENSE ART ACADEMY CORP. MANA HOLDINGS GROUP CORP MENENDEZ DENTAL GROUP, P.A. DOMINO INTERNATIONAL, INC, INNOVATIVE POWER GROUP, INC. CAT TRADING, LLC JC COLLINS AVE, LLC. VVJM INVESTMENTS LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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