| Entity Name: | BUCKEYE DENTAL INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Mar 2021 (4 years ago) |
| Date of dissolution: | 07 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Mar 2024 (a year ago) |
| Document Number: | P21000031283 |
| FEI/EIN Number | 86-3149875 |
| Address: | 1282 Clearview Drive, Port Charlotte, FL, 33953, US |
| Mail Address: | 1282 Clearview Drive, Port Charlotte, FL, 33953, US |
| ZIP code: | 33953 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770157398 | 2021-05-18 | 2021-05-18 | 3220 S TAMIAMI TRL, SARASOTA, FL, 342395102, US | 3220 S TAMIAMI TRL, SARASOTA, FL, 342395102, US | |||||||||||||||||||||
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| Phone | +1 941-366-3636 |
| Fax | 9419570624 |
Authorized person
| Name | DR. SEAN ERIC MATHENY |
| Role | PRESIDENT |
| Phone | 9413663636 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DENTAL LICENSE |
| Number | DN24599 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARDI LES | Agent | 7061 S TAMIAMI TRAIL, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| Matheny Sean E | President | 1282 Clearview Drive, Port Charlotte, FL, 33953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-03 | 1282 Clearview Drive, Port Charlotte, FL 33953 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-03 | 1282 Clearview Drive, Port Charlotte, FL 33953 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-07 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-04-11 |
| Domestic Profit | 2021-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
