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DENTAL SPECIALTY GROUP OF PINELLAS, INC.

Company Details

Entity Name: DENTAL SPECIALTY GROUP OF PINELLAS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Dec 1996 (28 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P96000100008
FEI/EIN Number 593414946
Address: 4326 PARK BLVD., SUITE #C-EAST, PINELLAS PARK, FL, 33781
Mail Address: 4326 PARK BLVD., SUITE #C-EAST, PINELLAS PARK, FL, 33781
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447327010 2006-11-29 2020-08-22 4326 PARK BLVD, C EAST, PINELLAS PARK, FL, 337813555, US 4326 PARK BLVD, C EAST, PINELLAS PARK, FL, 337813555, US

Contacts

Phone +1 727-544-5345
Fax 7275478263

Authorized person

Name MRS. LISA JEAN DURBIN
Role OFFICE MANAGER
Phone 7275445345

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN5630
State FL
Is Primary Yes

Agent

Name Role Address
PAQUETTE WENDY B Agent 4326 PARK BLVD., PINELLAS PARK, FL, 33781

Director

Name Role Address
BELL GRAHAM S Director 4326 PARK BOULEVARD SUITE C-EAST, PINELLAS PARK, FL, 33781
BELL PATRICIA L Director 4326 PARK BLVD., PINELLAS PARK, FL, 33781

Secretary

Name Role Address
PAQUETTE WENDY Secretary 4326 PARK BLVD SUITE C-EAST, PINELLAS PARK, FL, 33781

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-20 4326 PARK BLVD., SUITE #E-EAST, PINELLAS PARK, FL 33781 No data
AMENDMENT 2009-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-04-28
Amendment 2009-08-25
ANNUAL REPORT 2009-04-14
ANNUAL REPORT 2008-04-14
ANNUAL REPORT 2007-01-23
ANNUAL REPORT 2006-01-20
ANNUAL REPORT 2005-02-09
ANNUAL REPORT 2004-02-23
ANNUAL REPORT 2003-04-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State