| Entity Name: | FRED BENZENHAFER, DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Aug 2021 (3 years ago) |
| Document Number: | P21000075826 |
| FEI/EIN Number | 87-2354884 |
| Address: | 2251 N FEDERAL HWY STE 100, POMPANO BEACH, FL, 33062 |
| Mail Address: | 2251 N FEDERAL HWY STE 100, POMPANO BEACH, FL, 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730843897 | 2021-10-26 | 2023-06-13 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 100 NE 23RD ST. STE 101, POMPANO BEACH, FL, 33060, US | |||||||||||||
|
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| Phone | +1 877-649-3485 |
Authorized person
| Name | FRED BENZENHAFER |
| Role | OWNER |
| Phone | 3154546000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BENZENHAFER FRED DMD | Director | 2251 N FEDERAL HWY STE 100, POMPANO BEACH, FL, 33062 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000014902 | ASPEN DENTAL | ACTIVE | 2022-02-01 | 2027-12-31 | No data | 1700 NE 23RD ST, STE 101, POMPANO BEACH, FL, 33062 |
| G21000163528 | ASPEN DENTAL | ACTIVE | 2021-12-09 | 2026-12-31 | No data | 2251 N FEDERAL HWY, STE 100, POMPANO BEACH, FL, 33062 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-26 |
| Domestic Profit | 2021-08-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
