| Entity Name: | BWM DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Mar 2018 (7 years ago) |
| Document Number: | P18000021031 |
| FEI/EIN Number | 82-4682186 |
| Address: | 1415 GOVERNORS SQUARE, TALLAHASSEE, FL, 32301, US |
| Mail Address: | 1415 GOVERNORS SQUARE, TALLAHASSEE, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447753090 | 2018-03-09 | 2023-06-20 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 1415 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL, 323013049, US | |||||||||||||
|
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| Phone | +1 850-688-9095 |
Authorized person
| Name | BRANDON MECKELBERG |
| Role | OWNER |
| Phone | 8506889095 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MECKELBERG BRANDON | President | 305 Pelican Circle, Panama City Beach, FL, 32461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000080107 | ASPEN DENTAL | ACTIVE | 2023-07-06 | 2028-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G22000030497 | ASPEN DENTAL | ACTIVE | 2022-03-03 | 2027-12-31 | No data | 1767 HERMITAGE BLVD., #4106, TALLAHASSEE, FL, 32301 |
| G18000061726 | ASPEN DENTAL | ACTIVE | 2018-05-23 | 2028-12-31 | No data | 140 GRAND STREET SUITE 300, WHITE PLAINS, NY, 10601 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-01-24 |
| Domestic Profit | 2018-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
