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  5. PREMIER DENTISTRY, INC.

PREMIER DENTISTRY, INC.

Company Details

Entity Name: PREMIER DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Dec 2011 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Jun 2024 (8 months ago)
Document Number: P11000105271
FEI/EIN Number 800770874
Address: 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401, US
Mail Address: 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401, US
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174927586 2014-10-14 2014-10-14 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 334011800, US 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 334011800, US

Contacts
Phone +1 561-686-2077
Fax 5616862257

Authorized person
Name DR. DANIEL MARK CASEL
Role DENTIST
Phone 5616862077

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER DENTISTRY, INC. 401(K) PLAN 2023 800770874 2024-05-16 PREMIER DENTISTRY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2022 800770874 2023-03-06 PREMIER DENTISTRY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2021 800770874 2022-05-12 PREMIER DENTISTRY, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2020 800770874 2021-07-12 PREMIER DENTISTRY, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2019 800770874 2020-06-05 PREMIER DENTISTRY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2018 800770874 2019-06-27 PREMIER DENTISTRY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2017 800770874 2018-10-15 PREMIER DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2016 800770874 2018-01-31 PREMIER DENTISTRY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY, INC. 401(K) PLAN 2015 800770874 2016-06-28 PREMIER DENTISTRY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 5616862077
Plan sponsor’s address 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL, 33401
PREMIER DENTISTRY INC 401 K PROFIT SHARING PLAN TRUST 2014 203328261 2015-08-14 PREMIER DENTISTRY INC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6106964922
Plan sponsor’s address 8531 SE BRISTOL WA, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2015-08-14
Name of individual signing DIANE GITTO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CAPITOL CORPORATE SERVICES, INC. Agent

President

Name Role Address
GELFAND EDWARD President 1501 PRESIDENTIAL WAY, STE 15, WEST PALM BEACH, FL, 33401

Director

Name Role Address
GELFAND EDWARD Director 1501 PRESIDENTIAL WAY, STE 15, WEST PALM BEACH, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000093853 PREMIER DENTISTRY COSMETIC AND RESTORATIVE DENTISTRY EXPIRED 2015-09-11 2020-12-31 No data 1501 PRESIDENTIAL WAY, SUITE NO. 15, WEST PALM BEACH, FL, 33401
G12000020255 PREMIER DENTISTRY OF THE PALM BEACHES ACTIVE 2012-02-28 2027-12-31 No data 1501 PRESIDENTIAL WAY, #15, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
AMENDMENT 2024-06-12 No data No data
REGISTERED AGENT NAME CHANGED 2024-06-12 CAPITOL CORPORATE SERVICES, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2024-06-12 515 EAST PARK AVENUE, 2ND FLOOR, TALLAHASSEE, FL 32301 No data
AMENDMENT 2016-06-24 No data No data
CHANGE OF MAILING ADDRESS 2012-02-26 1501 PRESIDENTIAL WAY, SUITE 15, WEST PALM BEACH, FL 33401 No data

Documents

Name Date
Amendment 2024-06-12
ANNUAL REPORT 2024-05-06
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-10
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-01-10
Amendment 2016-06-24

Related by officers

GELFAND EDWARD

STUART FAMILY DENTISTRY, INC. PREMIER DENTISTRY OF BOYNTON BEACH 2, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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