| Entity Name: | ODESSA MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2024 (a year ago) |
| Document Number: | P24000002636 |
| Address: | 13484 PINE GAP SPUR, ODESSA, FL, 33556, US |
| Mail Address: | 1700 RED HILL AVE, IRVINE, CA, 92614, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770346496 | 2024-02-05 | 2024-02-05 | PO BOX 920050, DALLAS, TX, 753920050, US | 13484 PINE GAP SPUR, ODESSA, FL, 335562542, US | |||||||||||||
|
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| Phone | +1 813-279-6537 |
Authorized person
| Name | NICHOLAS BUTTON |
| Role | OWNER |
| Phone | 8132796537 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000025966 | ODESSA MODERN DENTISTRY | ACTIVE | 2024-02-16 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
