| Entity Name: | LIFE SMILE DENTAL GROUP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Dec 2022 (2 years ago) |
| Document Number: | P16000020732 |
| FEI/EIN Number | 813206549 |
| Address: | 2438 W 60 STREET, HIALEAH, FL, 33016, US |
| Mail Address: | 2438 W 60 STREET, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588361505 | 2023-02-09 | 2023-02-09 | 2438 W 60TH ST, HIALEAH, FL, 330164400, US | 2438 W 60TH ST, HIALEAH, FL, 330164400, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-558-6832 |
| Fax | 3055581159 |
Authorized person
| Name | EDGAR E NAVARRETE |
| Role | GENERAL DENTIST |
| Phone | 3055586832 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0106X - Oral and Maxillofacial Pathology Dentist |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NAVARRETE EDGAR | Agent | 999 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| NAVARRETE EDGAR | Director | 999 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| NAVARRETE EDGAR | President | 999 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| DUQUE MARIA V | Vice President | 999 WATERSIDE CIRCLE, WESTON, FL, 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-12-21 | No data | No data |
| AMENDMENT | 2016-08-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-08-25 | 2438 W 60 STREET, HIALEAH, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-25 | 2438 W 60 STREET, HIALEAH, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-19 |
| Amendment | 2022-12-21 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-13 |
| Amendment | 2016-08-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
