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AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A. - Florida Company Profile

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Company Details

Entity Name: AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Apr 2024 (a year ago)
Document Number: P24000030257
FEI/EIN Number 99-2925214
Mail Address: 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560, US
Address: 800 DUNN AVENUE, JACKSONVILLE, FL, 32218, US
ZIP code: 32218
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WIMAN KEVIN President 800 DUNN AVENUE, JACKSONVILLE, FL, 32218
LASSETER ANNA Secretary 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC, 27560
WIMAN KEVIN Treasurer 800 DUNN AVENUE, JACKSONVILLE, FL, 32218
GAINES BRETT Assistant Treasurer 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC, 27560
- Agent -

National Provider Identifier

NPI Number:
1740001668
Certification Date:
2024-10-23

Authorized Person:

Name:
KEVIN WIMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000062809 AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE ACTIVE 2024-05-14 2029-12-31 - 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC, 27560

Documents

Name Date
ANNUAL REPORT 2025-01-03
Domestic Profit 2024-04-26

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Date of last update: 03 Aug 2025

Sources: Florida Department of State