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CHILDREN'S HOSPITAL DENTISTRY, INC.

Company Details

Entity Name: CHILDREN'S HOSPITAL DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Dec 2011 (13 years ago)
Document Number: P11000108419
FEI/EIN Number 45-4284097
Address: 9751 E BAY HARBOR DR #1204, MIAMI, FL, 33154
Mail Address: 9751 E BAY HARBOR DR #1204, MIAMI, FL, 33154
ZIP code: 33154
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700132271 2012-08-02 2012-08-02 9751 E BAY HARBOR DR, #1204, BAY HARBOR ISLANDS, FL, 331543830, US 1411 N FLAGLER DR, #4100, WEST PALM BEACH, FL, 334013404, US

Contacts

Phone +1 561-685-7020

Authorized person

Name BURT JORDAN
Role CEO
Phone 5616857020

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6848
State FL
Is Primary Yes

Agent

Name Role Address
KAHN DONALD E Agent 317 71ST ST, MIAMI BEACH, FL, 33141

Director

Name Role Address
JORDAN BURT Director 9751 E BAY HARBOR DR #1204, MIAMI, FL, 33154

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-07

Date of last update: 03 Feb 2025

Sources: Florida Department of State