| Entity Name: | DLC DENTAL, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 May 2019 (6 years ago) |
| Document Number: | P19000041463 |
| FEI/EIN Number | 84-1943712 |
| Address: | 6260 W. Oakland Park Blvd, Sunrise, FL 33313 |
| Mail Address: | 5094 Coconut Creek PKWY, #4581, Margate, FL 33063 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285280024 | 2019-08-16 | 2019-08-16 | 4400 NW 30TH ST APT 127, COCONUT CREEK, FL, 330662135, US | 6260 W OAKLAND PARK BLVD, SUNRISE, FL, 333131214, US | |||||||||||||||
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| Phone | +1 954-594-6454 |
| Phone | +1 954-742-7995 |
Authorized person
| Name | DR. DOROTIE LACROZE |
| Role | PRESIDENT |
| Phone | 9545946454 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DLC DENTAL INC | 2023 | 841943712 | 2024-09-05 | DLC DENTAL INC | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-05 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9545946454 |
| Plan sponsor’s address | 6260 W OAKLAND PARK BLVD, SUNRISE, FL, 33313 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-13 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LAROCHE, YANEL | Agent | 3801 N UNIVERSITY DR, SUITE 316, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| LACROZE, DOROTIE | President | 5094 Coconut Creek PKWY, #4581 Margate, FL 33063 |
| Name | Role | Address |
|---|---|---|
| CASTILE, STEELE | Vice President | 5094 Coconut Creek PKWY, #4581 Margate, FL 33063 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000079712 | BROWARD FAMILY DENTAL CARE | EXPIRED | 2019-07-25 | 2024-12-31 | No data | 4400 NW 30TH STREET UNIT 127, COCONUT CREEK, FL, 33066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-29 | 6260 W. Oakland Park Blvd, Sunrise, FL 33313 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-30 | LAROCHE, YANEL | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-01 | 6260 W. Oakland Park Blvd, Sunrise, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-28 |
| ANNUAL REPORT | 2020-04-01 |
| Domestic Profit | 2019-05-10 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
