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PERIODONTICS & IMPLANT DENTISTRY OF BOCA FL, P.A. - Florida Company Profile

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Company Details

Entity Name: PERIODONTICS & IMPLANT DENTISTRY OF BOCA FL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jan 2023 (3 years ago)
Document Number: P23000005247
FEI/EIN Number 92-1979346
Address: 15300 S. JOG ROAD, SUITE 201, DELRAY BEACH, FL, 33446, US
Mail Address: 50 FORD WAY, RICHMOND HILL, GA, 31324, US
ZIP code: 33446
City: Delray Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Harpen Paige Exec 43 FORD WAY, RICHMOND HILL, GA, 31324
- Agent -

National Provider Identifier

NPI Number:
1184319477
Certification Date:
2023-04-11

Authorized Person:

Name:
MR. MYLES MCALLISTER
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000043276 RESSLER DENTAL ACTIVE 2025-03-28 2030-12-31 - 43 FORD WAY, RICHMOND HILL, GA, 31324
G23000018721 RESSLER DENTAL ACTIVE 2023-02-08 2028-12-31 - 50 FORD WAY, RICHMOND HILL, GA, 31324

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-13 COGENCY GLOBAL INC. -
REGISTERED AGENT ADDRESS CHANGED 2025-01-13 115 NORTH CALHOUN STREET SUITE 4, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
Reg. Agent Change 2025-01-13
ANNUAL REPORT 2024-02-07
Domestic Profit 2023-01-24

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Date of last update: 03 Aug 2025

Sources: Florida Department of State