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AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A. - Florida Company Profile

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Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Aug 2018 (7 years ago)
Date of dissolution: 23 Sep 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Sep 2020 (5 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
City: Lake Mary
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
FENTON DANIEL MDMD President 890 SOUTH SUN DRIVE, LAKE MARY, FL, 32746
FENTON DANIEL MDMD Director 890 SOUTH SUN DRIVE, LAKE MARY, FL, 32746
AMMONS RANDAL G Assistant Secretary 629 DAVIS DR. SUITE 300, MORRISVILLE, NC, 27560

National Provider Identifier

NPI Number:
1356826945

Authorized Person:

Name:
DANIEL FENTON
Role:
PRACTICE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-09-23 - -
CHANGE OF MAILING ADDRESS 2019-06-14 890 SOUTH SUN DRIVE, LAKE MARY, FL 32746 -
AMENDMENT 2018-11-29 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-09-23
ANNUAL REPORT 2019-06-14
Amendment 2018-11-29
Domestic Profit 2018-08-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State