| Entity Name: | CRAIG LUSTMAN DDS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2018 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Aug 2018 (6 years ago) |
| Document Number: | P18000052491 |
| FEI/EIN Number | 83-1086101 |
| Address: | 8903 Glades Rd, Boca Raton, FL, 33434, US |
| Mail Address: | 8903 Glades Rd, Boca Raton, FL, 33434, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295221364 | 2018-07-02 | 2018-07-02 | 3184 STIRLING RD UNIT D1, HOLLYWOOD, FL, 330212061, US | 20762 W DIXIE HWY, AVENTURA, FL, 331801146, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-770-0783 |
Authorized person
| Name | DR. CRAGI LUSTMAN |
| Role | OWNER |
| Phone | 9547700783 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRAIG LUSTMAN, DDS, PA 401(K) PLAN | 2023 | 831086101 | 2024-10-21 | CRAIG LUSTMAN, DDS, PA | 8 | |||||||||||||
|
||||||||||||||||||
| CRAIG LUSTMAN, DDS, PA 401(K) PLAN | 2022 | 831086101 | 2023-06-14 | CRAIG LUSTMAN, DDS, PA | 4 | |||||||||||||
|
||||||||||||||||||
| CRAIG LUSTMAN, DDS, PA 401(K) PLAN | 2021 | 831086101 | 2022-09-17 | CRAIG LUSTMAN, DDS, PA | 5 | |||||||||||||
|
||||||||||||||||||
| CRAIG LUSTMAN, DDS, PA 401(K) PLAN | 2020 | 831086101 | 2021-07-19 | CRAIG LUSTMAN, DDS, PA | 2 | |||||||||||||
|
||||||||||||||||||
| CRAIG LUSTMAN, DDS, PA 401(K) PLAN | 2019 | 831086101 | 2020-07-08 | CRAIG LUSTMAN, DDS, PA | 0 | |||||||||||||
|
||||||||||||||||||
| Name | Role | Address |
|---|---|---|
| LUSTMAN CRAIG A | Agent | 8903 Glades Rd, Boca Raton, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| Lustman Craig A | President | 3320 SW 58th St, Fort Lauderdale, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| Lustman Rebecca | Secretary | 3320 SW 58th St, Fort Lauderdale, FL, 33312 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000072738 | KIDS UNITED PEDIATRIC DENTISTRY | ACTIVE | 2019-07-01 | 2029-12-31 | No data | 8903 GLADES RD SUITE D4, BOCA RATON, FL, 33434 |
| G18000113772 | WEST BOCA DENTISTRY FOR CHILDREN | EXPIRED | 2018-10-19 | 2023-12-31 | No data | 8903 GLADES RD. SUITE D-4, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-03-27 | 8903 Glades Rd, Suite D4, Boca Raton, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-18 | 8903 Glades Rd, Suite D4, Boca Raton, FL 33434 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-18 | 8903 Glades Rd, Suite D4, Boca Raton, FL 33434 | No data |
| AMENDMENT | 2018-08-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-27 |
| ANNUAL REPORT | 2019-04-18 |
| Amendment | 2018-08-13 |
| Domestic Profit | 2018-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
