| Entity Name: | BRUSHES AND BRACKETS DENTAL STUDIO INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BRUSHES AND BRACKETS DENTAL STUDIO INC 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: | 03 Apr 2019 (6 years ago) |
| Document Number: | P19000029976 |
| FEI/EIN Number |
84-3019513
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 2255 DUNN AVE, STE 700, JACKSONVILLE, FL, 32218, US |
| Address: | 2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32225 |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023772704 | 2021-10-28 | 2021-10-28 | 2255 DUNN AVE STE 700, JACKSONVILLE, FL, 322184742, US | 2255 DUNN AVE STE 700, JACKSONVILLE, FL, 322184742, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 904-751-5126 |
| Fax | 9047515146 |
Authorized person
| Name | DR. TANYA WALL |
| Role | OWNER |
| Phone | 9047515126 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103221100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUSHES AND BRACKETS DENTAL STUDIO 401(K) PLA | 2023 | 843019513 | 2024-10-15 | BRUSHES AND BRACKETS DENTAL STUDIO | 10 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-15 |
| Name of individual signing | TANYA C. WALL, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-15 |
| Name of individual signing | TANYA C. WALL, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9046101922 |
| Plan sponsor’s address | 2255 DUNN AVE, STE 700, JACKSONVILLE, FL, 32218 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-16 |
| Name of individual signing | TANYA C. WALL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Wall Tanya C | President | 2255 DUNN AVE, JACKSONVILLE, FL, 32218 |
| WALL TANYA C | Agent | 2255 DUNN AVE, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-06 | 2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL 32225 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-06 | 2255 DUNN AVE, STE 700, JACKSONVILLE, FL 32218 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-03 |
| Domestic Profit | 2019-04-03 |
Date of last update: 02 May 2025
Sources: Florida Department of State
