| Entity Name: | SMILE INNOVATIONS DENTISTRY CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jan 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Oct 2021 (3 years ago) |
| Document Number: | P21000007603 |
| FEI/EIN Number | 861880796 |
| Address: | 3833 Cleveland Ace, Fort Myers, FL, 33901, US |
| Mail Address: | 3833 Cleveland Ace, Fort Myers, FL, 33901, US |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578312302 | 2024-05-14 | 2024-05-21 | 3833 CLEVELAND AVE STE 170, FORT MYERS, FL, 339018663, US | 3833 CLEVELAND AVE STE 170, FORT MYERS, FL, 339018663, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 239-935-7704 |
| Fax | 2399357709 |
Authorized person
| Name | DR. YAMILE VILLAVICENCIO |
| Role | DENTIST |
| Phone | 2392334531 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLAVICENCIO YAMILE | Agent | 1845 NW 20TH AVE, CAPE CORAL, FL, 33993 |
| Name | Role | Address |
|---|---|---|
| VILLAVICENCIO YAMILE | President | 1845 NW 20TH AVE, CAPE CORAL, FL, 33993 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 3833 Cleveland Ace, Suite 170, Fort Myers, FL 33901 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-13 | 3833 Cleveland Ace, Suite 170, Fort Myers, FL 33901 | No data |
| AMENDMENT | 2021-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-08 | VILLAVICENCIO, YAMILE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-11 |
| Amendment | 2021-10-08 |
| Domestic Profit | 2021-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
