| Entity Name: | WESLEY CHAPEL SMILES DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Nov 2018 (6 years ago) |
| Document Number: | P18000094743 |
| FEI/EIN Number | 83-2833939 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614, US |
| Address: | 25464 Sierra Center Blvd, LUTZ, FL, 33559, US |
| ZIP code: | 33559 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982178612 | 2019-01-16 | 2024-08-21 | PO BOX 920050, DALLAS, TX, 753920050, US | 25464 SIERRA CENTER BLVD, LUTZ, FL, 335597322, US | |||||||||||||||||
|
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| Phone | +1 714-845-8500 |
| Fax | 3039520892 |
| Phone | +1 813-296-2028 |
Authorized person
| Name | DR. MINH B PHAM |
| Role | OWNER/DDS |
| Phone | 8132962028 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | President | ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Button Nicholas R | Secretary | ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Chief Financial Officer | ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Button Nicholas R | Director | ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Pham Minh B | Director | ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Ghazal Carolyn B | Director | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000043689 | WESLEY CHAPEL SMILES DENTISTRY | ACTIVE | 2019-04-05 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-20 | 25464 Sierra Center Blvd, LUTZ, FL 33559 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-20 | 25464 Sierra Center Blvd, LUTZ, FL 33559 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| Reg. Agent Change | 2022-05-20 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-30 |
| Domestic Profit | 2018-11-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
