| Entity Name: | AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Aug 2018 (6 years ago) |
| Date of dissolution: | 23 Sep 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Sep 2020 (4 years ago) |
| Document Number: | P18000071356 |
| FEI/EIN Number | 83-1656333 |
| Mail Address: | 629 Davis Drive, Morrisville, NC, 27560, US |
| Address: | 890 SOUTH SUN DRIVE, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356826945 | 2018-09-28 | 2018-10-10 | 890 S SUN DR, LAKE MARY, FL, 327462406, US | 890 S SUN DR, LAKE MARY, FL, 327462406, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 404-333-4610 |
Authorized person
| Name | DANIEL FENTON |
| Role | PRACTICE OWNER |
| Phone | 4043334610 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| FENTON DANIEL MDMD | President | 890 SOUTH SUN DRIVE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| FENTON DANIEL MDMD | Director | 890 SOUTH SUN DRIVE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| AMMONS RANDAL G | Assistant Secretary | 629 DAVIS DR. SUITE 300, MORRISVILLE, NC, 27560 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-06-14 | 890 SOUTH SUN DRIVE, LAKE MARY, FL 32746 | No data |
| AMENDMENT | 2018-11-29 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-23 |
| ANNUAL REPORT | 2019-06-14 |
| Amendment | 2018-11-29 |
| Domestic Profit | 2018-08-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
