Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Walton
    4. ›
  4. 32459
    5. ›
  5. COOK FAMILY DENTISTRY, P.A.

COOK FAMILY DENTISTRY, P.A.

Company Details

Entity Name: COOK FAMILY DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Nov 2010 (14 years ago)
Document Number: P10000095246
FEI/EIN Number 274028554
Address: 2441 HWY 98 WEST, SUITE 107, SANTA ROSA BEACH, FL, 32459
Mail Address: 2441 HWY 98 WEST, SUITE 107, SANTA ROSA BEACH, FL, 32459
ZIP code: 32459
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184928632 2010-12-27 2010-12-27 2441 HWY 98 W, STE 107, SANTA ROSA BEACH, FL, 32459, US 2441 HWY 98 W, STE 107, SANTA ROSA BEACH, FL, 32459, US

Contacts
Phone +1 850-622-2226
Fax 8506222246

Authorized person
Name DR. CASSIDY TAYLOR COOK
Role PRESIDENT
Phone 8506222226

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN18378
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2023 274028554 2024-07-18 COOK FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2022 274028554 2023-07-31 COOK FAMILY DENTISTRY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2021 274028554 2022-08-16 COOK FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2020 274028554 2021-06-18 COOK FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2019 274028554 2020-08-18 COOK FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459
COOK FAMILY DENTISTRY RETIREMENT PLAN & TRUST 2018 274028554 2019-05-02 COOK FAMILY DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8506222226
Plan sponsor’s address 2441 HWY 98 W., SUITE 107, SANTA ROSA BEACH, FL, 32459

Agent

Name Role Address
Cook Cassidy TDr. Agent 2441 HWY 98 WEST, SUITE 107, SANTA ROSA BEACH, FL, 32459

Director

Name Role Address
COOK CASSIDY T Director 38 Lauray Ct, FREEPORT, FL, 32439

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-02 Cook, Cassidy T, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-02 2441 HWY 98 WEST, SUITE 107, SANTA ROSA BEACH, FL 32459 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-20

Related by officers

COOK CASSIDY T

COOK BUSINESS HOLDINGS, LLC CLASSICAL EDUCATION OF SRB, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated