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MJM DENTISTRY, INC.

Company Details

Entity Name: MJM DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Mar 2017 (8 years ago)
Document Number: P17000028267
FEI/EIN Number 82-1016390
Address: 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
Mail Address: 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829
ZIP code: 32829
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538694658 2017-04-26 2017-04-26 6415 S CHICKASAW TRL, ORLANDO, FL, 328298366, US 6415 S CHICKASAW TRL, ORLANDO, FL, 328298366, US

Contacts

Phone +1 407-382-2282
Fax 4073822858

Authorized person

Name DR. MICHAEL JASON MORRA
Role DENTIST
Phone 4073822282

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN15714
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MJM DENTISTRY 401K PLAN 2023 821016390 2024-06-19 MJM DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2022 821016390 2023-06-06 MJM DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2021 821016390 2022-05-25 MJM DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2022-05-25
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2020 821016390 2021-06-28 MJM DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2019 821016390 2020-12-28 MJM DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2020-12-28
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2018 821016390 2019-09-23 MJM DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2019-09-23
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature
MJM DENTISTRY 401K PLAN 2017 821016390 2018-10-05 MJM DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4072225729
Plan sponsor’s address 6415 S CHICKASAW TRL, ORLANDO, FL, 32829

Signature of

Role Plan administrator
Date 2018-10-05
Name of individual signing MICHAEL MORRA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MORRA MICHAEL J Agent 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

President

Name Role Address
MORRA MICHAEL J President 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000035948 FAMILY AND COSMETIC DENTISTRY AT VISTA LAKES EXPIRED 2017-04-04 2022-12-31 No data 6415 S. CHICKASAW TRAIL, ORLANDO, FL, 32829

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-02-22
Domestic Profit 2017-03-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State