| Entity Name: | PREFERRED DENTAL CARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Aug 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | P17000071702 |
| FEI/EIN Number | 82-2658282 |
| Address: | 2263 s university dr, davie, FL, 33324, US |
| Mail Address: | 2263 s university dr, davie, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801300066 | 2017-11-27 | 2017-11-27 | 2263 S UNIVERSITY DR, DAVIE, FL, 333245825, US | 2263 S UNIVERSITY DR, DAVIE, FL, 333245825, US | |||||||||||||||||||||||
|
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| Phone | +1 954-475-0700 |
Authorized person
| Name | VADIM VALDMAN |
| Role | DDS/OWNER |
| Phone | 2128106226 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17761 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076461200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | Agent | 2263 s university dr, davie, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | President | 2263 s university dr, davie, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 2263 s university dr, davie, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 2263 s university dr, davie, FL 33324 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-20 | 2263 s university dr, davie, FL 33324 | No data |
| REINSTATEMENT | 2019-01-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-28 | VALDMAN, VADIM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-20 |
| REINSTATEMENT | 2019-01-28 |
| Domestic Profit | 2017-08-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
