| Entity Name: | DENTAL ARTS WEST BAY P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Dec 2020 (4 years ago) |
| Document Number: | P20000094319 |
| FEI/EIN Number | 85-4225696 |
| Mail Address: | 1475 Belcher Road S, Largo, FL, 33771, US |
| Address: | 6921 PISTOL RANGE ROAD, SUITE 103, TAMPA, FL, 33635, US |
| ZIP code: | 33635 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447846662 | 2020-12-13 | 2020-12-13 | 6921 PISTOL RANGE RD STE 103, TAMPA, FL, 336359675, US | 6921 PISTOL RANGE RD STE 103, TAMPA, FL, 336359675, US | |||||||||||||||||||
|
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| Phone | +1 813-855-0514 |
| Fax | 8138558836 |
Authorized person
| Name | ANDREW CROUCH |
| Role | VP |
| Phone | 3218728820 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CROUCH ANDREW | Agent | 1475 Belcher Road S, Largo, FL, 33771 |
| Name | Role | Address |
|---|---|---|
| SORELLE CECILIA M | President | 1475 Belcher Road S, Largo, FL, 33771 |
| Name | Role | Address |
|---|---|---|
| CROUCH ANDREW | Vice President | 1475 Belcher Road S, Largo, FL, 33771 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000156787 | WEST BAY DENTAL | ACTIVE | 2020-12-10 | 2025-12-31 | No data | 9180 OAKHURST ROAD, SUITE 3, SEMINOLE, FL, 33776 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 6921 PISTOL RANGE ROAD, SUITE 103, TAMPA, FL 33635 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 1475 Belcher Road S, Largo, FL 33771 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-03-09 |
| Domestic Profit | 2020-12-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
