| Entity Name: | DENTAL SPECIALISTS OF DORAL GROUP CO |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Oct 2012 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Sep 2017 (7 years ago) |
| Document Number: | P12000089231 |
| FEI/EIN Number | 46-1236992 |
| Address: | 10666 Fontainbleau Blvd., Miami, FL 33172 |
| Mail Address: | 10666 Fontainbleau Blvd., Miami, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477988442 | 2013-09-10 | 2016-06-15 | 10666 FONTAINEBLEAU BLVD, MIAMI, FL, 331723117, US | 10666 FONTAINEBLEAU BLVD, MIAMI, FL, 331723117, US | |||||||||||||||||
|
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| Phone | +1 786-355-4401 |
Authorized person
| Name | DR. GARY L GOLDEN |
| Role | CLINICAL DIRECTOR / OWNER |
| Phone | 7863554401 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN 2046 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PELTON, IVAN A, DDS | Agent | 10666 Fontainbleau Blvd., Miami, FL 33172 |
| Name | Role | Address |
|---|---|---|
| PELTON, IVAN S, DDS | President | 10666 FONTAINBLEAU BLVD, MIAMI, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-14 | PELTON, IVAN A, DDS | No data |
| CHANGE OF MAILING ADDRESS | 2015-12-09 | 10666 Fontainbleau Blvd., Miami, FL 33172 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-12-09 | 10666 Fontainbleau Blvd., Miami, FL 33172 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-21 | 10666 Fontainbleau Blvd., Miami, FL 33172 | No data |
| AMENDMENT | 2014-02-07 | No data | No data |
| AMENDMENT | 2013-12-19 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000679332 | ACTIVE | 1000000798582 | MIAMI-DADE | 2018-09-28 | 2028-10-03 | $ 555.47 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-17 |
| Amendment | 2017-09-14 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
