| Entity Name: | PREMIER DENTISTRY OF JUPITER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Apr 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Jun 2018 (7 years ago) |
| Document Number: | P15000030096 |
| FEI/EIN Number | 47-3567763 |
| Address: | 1001 W. INDIANTOWN ROAD SUITE NO. 106, JUPITER, FL, 33458, US |
| Mail Address: | 1001 W. INDIANTOWN ROAD SUITE NO. 106, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427589464 | 2017-03-22 | 2017-03-22 | 1001 W INDIANTOWN RD, SUITE 106, JUPITER, FL, 334586830, US | 1001 W INDIANTOWN RD, SUITE 106, JUPITER, FL, 334586830, US | |||||||||||||||
|
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| Phone | +1 561-747-7111 |
| Fax | 5617478826 |
Authorized person
| Name | DANIEL CASEL |
| Role | DOCTOR/PROVIDER |
| Phone | 5617477111 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASEL DANIEL M | Agent | 1001 W. INDIANTOWN ROAD SUITE NO. 106, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| CASEL DANIEL M | Vice President | 1001 W INDIANTOWN RD, JUPITER, FL, 33458 |
| Name | Role |
|---|---|
| PREMIER DENTISTRY OF FLORIDA, INC | President |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000093855 | PREMIER DENTISTRY DANIEL M. CASEL, DMD | EXPIRED | 2015-09-11 | 2020-12-31 | No data | 1001 W. INDIANTOWN ROAD, SUITE NO. 105, JUPITER, FL, 33458 |
| G15000079595 | DENTAL ARTS OF JUPITER | EXPIRED | 2015-07-31 | 2020-12-31 | No data | 8531 SE BRISTOL WAY, JUPITER, FL, 33458 |
| G15000079598 | PREMIER DENTISTRY OF JUPITER | EXPIRED | 2015-07-31 | 2020-12-31 | No data | 8531 SE BRISTOL WAY, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-06-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-26 | 1001 W. INDIANTOWN ROAD SUITE NO. 106, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-26 | 1001 W. INDIANTOWN ROAD SUITE NO. 106, JUPITER, FL 33458 | No data |
| AMENDMENT | 2016-06-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| 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 |
| Amendment | 2018-06-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-10 |
| Amendment | 2016-06-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
