| Entity Name: | CLERMONT SMILES DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Aug 2016 (8 years ago) |
| Document Number: | P16000069807 |
| FEI/EIN Number | 81-3799409 |
| Mail Address: | ATTN: LEGAL DEPT., 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Address: | 900 Hooks Street, Clermont, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174071500 | 2016-09-14 | 2016-09-14 | 17000 RED HILL AVE, IRVINE, CA, 926145626, US | 900 HOOKS STREET, 100, CLERMONT, FL, 34711, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 714-845-8890 |
| Fax | 9494741495 |
| Phone | +1 352-360-7274 |
| Fax | 3528774379 |
Authorized person
| Name | DR. KATIE L MCCANN |
| Role | OWNER DENTIST |
| Phone | 3523607274 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Vu Nga T | President | ATTN: LEGAL DEPT., IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Chief Financial Officer | ATTN: LEGAL DEPT., IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Nam Sung M | Secretary | ATTN: LEGAL DEPT., IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Nam Sung M | Director | ATTN: LEGAL DEPT., IRVINE, CA, 92614 |
| Pham Minh B | Director | ATTN: LEGAL DEPT., IRVINE, CA, 92614 |
| Vu Nga T | Director | 17000 Red Hill Ave., IRVINE, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000108730 | CLERMONT SMILES DENTISTRY | ACTIVE | 2016-10-04 | 2026-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 900 Hooks Street, Suite 100, Clermont, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-26 | COGENCY GLOBAL INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-21 |
| Reg. Agent Change | 2022-01-05 |
| Reg. Agent Change | 2021-09-02 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
