| Entity Name: | CHAMPAGNE DENTAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CHAMPAGNE DENTAL CORP. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Apr 2018 (7 years ago) |
| Document Number: | P18000034608 |
| FEI/EIN Number |
82-5210299
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2385 NW EXECUTIVE CENTER DRIVE, SUITE 100, BOCA RATON, FL, 33431, US |
| Mail Address: | 2385 NW EXECUTIVE CENTER DRIVE, SUITE 100, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265918312 | 2018-07-12 | 2018-07-12 | 2385 NW EXECUTIVE CENTER DR STE 100, BOCA RATON, FL, 334318510, US | 1330 S BELCHER RD, CLEARWATER, FL, 337643713, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-251-1907 |
| Fax | 7275351185 |
| Phone | +1 727-535-3233 |
Authorized person
| Name | HOLLY KAY |
| Role | VICE PRESIDENT |
| Phone | 7272511907 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN11998 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19345 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19494 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | CATHERINE DE LA TORRE DMD |
| Number | 1649568767 |
| State | FL |
| Issuer | GEORGE HITZEL DDS |
| Number | 1063545242 |
| State | FL |
| Issuer | LINDSEY REZNIK DMD |
| Number | 1164710976 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GEORGE E. HITZEL DDS PA | Vice President | 1330 SOUTH BELCHER ROAD, CLEARWATER, FL, 33764 |
| HITZEL GEORGE E | President | 1330 SOUTH BELCHER RD, CLEARWATER, FL, 33764 |
| KAY HOLLY | Vice President | 1330 SOUTH BELCHER ROAD, CLEARWATER, FL, 33764 |
| KAY HOLLY | Agent | 1330 SOUTH BELCHER RD, CLEARWATER, FL, 33764 |
| Guardian Dentistry Partners | Officer | 2385 NW EXECUTIVE CENTER DRIVE, BOCA RATON, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000076429 | CHAMPAGNE DENTAL CARE | EXPIRED | 2019-07-15 | 2024-12-31 | - | 2385 NW EXECUTIVE CENTER DR, #100, BOCA RATON, FL, 33431 |
| G18000069519 | GEORGE E. HITZEL DDS | ACTIVE | 2018-06-19 | 2028-12-31 | - | 2385 NW EXECUTIVE CENTER DR, #100, BOCA RATON, FL, 33431 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-03-01 |
| AMENDED ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-06-17 |
| Domestic Profit | 2018-04-12 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
