| Entity Name: | ART DENTAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Apr 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P15000034892 |
| FEI/EIN Number | 47-3762603 |
| Address: | 1963 SE 3 DR, HOMESTEAD, FL 33033 |
| Mail Address: | P.O. BOX 343389, HOMESTEAD, FL 33034 |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972989549 | 2015-08-06 | 2015-08-06 | 11373 SW 211TH ST UNIT 10-11, MIAMI, FL, 331892245, US | 11373 SW 211TH ST UNIT 10-11, MIAMI, FL, 331892245, US | |||||||||||||||||||||||||
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| Phone | +1 305-971-9432 |
| Fax | 3059719434 |
Authorized person
| Name | KATIA PUENTE |
| Role | DENTIST |
| Phone | 3059719432 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN14649 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 071797500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOURENCO, FERNANDO | Agent | 1963 SE 3 DR, HOMESTEAD, FL 33033 |
| Name | Role | Address |
|---|---|---|
| LOURENCO, FERNANDO | President | 1693 SE 3 DR, HOMESTEAD, FL 33033 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2016-08-03 |
| ANNUAL REPORT | 2016-04-27 |
| Domestic Profit | 2015-04-16 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
