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IMPRESSIONS DENTISTRY INC.

Company Details

Entity Name: IMPRESSIONS DENTISTRY INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 20 Jun 2024 (7 months ago)
Document Number: P24000042175
FEI/EIN Number 99-3647481
Address: 1515 N FLAGLER DR, SUITE 520, WEST PALM BEACH, FL 33401
Mail Address: 1515 N FLAGLER DR, SUITE 520, WEST PALM BEACH, FL 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215757950 2024-10-16 2024-10-16 1515 N FLAGLER DR STE 520, WEST PALM BEACH, FL, 334013430, US 1515 N FLAGLER DR STE 520, WEST PALM BEACH, FL, 334013430, US

Contacts

Phone +1 561-655-8066

Authorized person

Name ANDREA LEON
Role OFFICE ADMINISTRATOR
Phone 5616558066

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
REPUBLIC REGISTERED AGENT LLC Agent

Director

Name Role Address
GAFFNEY, MICHAEL Director 1150 NW 72ND AVE TOWER 1 STE 455 #16794, MIAMI, FL 33126

President

Name Role Address
GAFFNEY, MICHAEL President 1150 NW 72ND AVE TOWER 1 STE 455 #16794, MIAMI, FL 33126

Treasurer

Name Role Address
GAFFNEY, MICHAEL Treasurer 222 YAMATO RD 106-236, BOCA RATON, FL 33431

Secretary

Name Role Address
GAFFNEY, MICHAEL Secretary 222 YAMATO RD 106-236, BOCA RATON, FL 33431

Vice President

Name Role Address
GAFFNEY, MICHAEL Vice President 222 YAMATO RD 106-236, BOCA RATON, FL 33431

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-26 1515 N FLAGLER DR, SUITE 520, WEST PALM BEACH, FL 33401 No data
CHANGE OF MAILING ADDRESS 2024-12-26 1515 N FLAGLER DR, SUITE 520, WEST PALM BEACH, FL 33401 No data

Documents

Name Date
Domestic Profit 2024-06-20

Date of last update: 07 Jan 2025

Sources: Florida Department of State