| Entity Name: | STUART DENTAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 1997 (28 years ago) |
| Document Number: | P97000025305 |
| FEI/EIN Number | 650759360 |
| Address: | 424 COLORADO AVENUE, STUART, FL, 34994 |
| Mail Address: | 424 COLORADO AVENUE, STUART, FL, 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629101308 | 2007-03-13 | 2020-08-22 | 424 COLORADO AVE, STUART, FL, 349943003, US | 424 COLORADO AVE, STUART, FL, 349943003, US | |||||||||||||||||
|
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| Phone | +1 772-286-2124 |
Authorized person
| Name | DR. CONRAD V HIBBERT |
| Role | DENTIST |
| Phone | 7722862124 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 13088 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HIBBERT CONRAD V | Agent | 425 COLORADO AVE, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| HIBBERT CONRAD V | President | 424 COLORADO AVENUE, STUART, FL, 34994 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
