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DENTAL SPECIALISTS OF PEMBROKE PINES GROUP CO - Florida Company Profile

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Company Details

Entity Name: DENTAL SPECIALISTS OF PEMBROKE PINES GROUP CO
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Aug 2017 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Sep 2017 (8 years ago)
Document Number: P17000068974
FEI/EIN Number 82-2516138
Address: 12558 Pines Blvd, Pembroke Pines, FL, 33027, US
Mail Address: 12558 Pines Blvd, Pembroke Pines, FL, 33027, US
ZIP code: 33027
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PELTON IVAN SDDS President 9 SW 17 STREET, FORT LAUDERDALE, FL, 33315
PELTON IVAN ADDS Agent 12558 Pines Blvd, Pembroke Pines, FL, 33027

National Provider Identifier

NPI Number:
1073030755

Authorized Person:

Name:
DR. IVAN PELTON
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-05 12558 Pines Blvd, Pembroke Pines, FL 33027 -
CHANGE OF MAILING ADDRESS 2022-04-05 12558 Pines Blvd, Pembroke Pines, FL 33027 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-05 12558 Pines Blvd, Pembroke Pines, FL 33027 -
AMENDMENT 2017-09-14 - -
REGISTERED AGENT NAME CHANGED 2017-09-14 PELTON, IVAN A, DDS -

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-04-08
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-17
Amendment 2017-09-14
Domestic Profit 2017-08-16

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Date of last update: 02 Jul 2025

Sources: Florida Department of State