| Entity Name: | AFFORDABLE DENTURES & IMPLANTS - TALLAHASSEE IV, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Sep 2022 (2 years ago) |
| Document Number: | P22000075021 |
| FEI/EIN Number | 92-0628329 |
| Address: | 2810 SHARER ROAD, SUITE 17, TALLAHASSEE, FL 32312 |
| Mail Address: | 629 DAVIS DRIVE SUITE 300, SUITE 300, MORRISVILLE, NC 27560 |
| ZIP code: | 32312 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770304685 | 2024-10-23 | 2024-10-23 | 2810 SHARER RD STE 17, TALLAHASSEE, FL, 323122107, US | 2810 SHARER RD STE 17, TALLAHASSEE, FL, 323122107, US | |||||||||||||
|
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| Phone | +1 850-385-5188 |
Authorized person
| Name | DUHWAN RASMUSSEN |
| Role | OWNER |
| Phone | 8503855188 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| RASMUSSEN, DUHWAN, DMD | President | 2810 SHARER ROAD, SUITE 17, TALLAHASSEE, FL 32312 |
| Name | Role | Address |
|---|---|---|
| LASSETER, ANNA | Secretary | 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560 |
| Name | Role | Address |
|---|---|---|
| GAINES, BRETT | Assistant Treasurer | 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000133846 | AFFORDABLE DENTURES & IMPLANTS - TALLAHASSEE | ACTIVE | 2022-10-26 | 2027-12-31 | No data | 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-27 |
| Domestic Profit | 2022-09-28 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
