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HARVINDER S. CHADDA, B.D.S., P.A.

Company Details

Entity Name: HARVINDER S. CHADDA, B.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Jan 1999 (26 years ago)
Document Number: P99000005520
FEI/EIN Number 59-3549006
Address: 790 DUNLAWTON AVE, F, PORT ORANGE, FL 32127
Mail Address: 991 MORI CT, PORT ORANGE, FL 32127
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730394263 2007-05-10 2020-08-22 790 DUNLAWTON AVE, SUITE F, PORT ORANGE, FL, 321279279, US 790 DUNLAWTON AVE, SUITE F, PORT ORANGE, FL, 321279279, US

Contacts

Phone +1 386-767-5417

Authorized person

Name DR. HARVINDER S CHADDA
Role PRESIDENT,DENTIST
Phone 3867675417

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN 9785
State FL
Is Primary Yes

Agent

Name Role Address
CHADDA, HARVINDER S Agent 991 MORI COURT, PORT ORANGE, FL 32127

DIRECTOR

Name Role Address
CHADDA, HARVINDER S DIRECTOR 991 MORI COURT, PORT ORANGE, FL 32127

PRESIDENT

Name Role Address
CHADDA, HARVINDER S PRESIDENT 991 MORI COURT, PORT ORANGE, FL 32127

Chief Executive Officer

Name Role Address
Chadda, Amandeep S Chief Executive Officer 1424 Areca Palm Drive, Port Orange, FL 32128

Vice President

Name Role Address
Chadda, Amandeep S Vice President 1424 Areca Palm Drive, Port Orange, FL 32128

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000009251 PORT ORANGE DENTIST ACTIVE 2020-01-22 2025-12-31 No data 991 MORI CT, PORT ORANGE, FL, 32127
G15000111544 PORTORANGEDENTIST EXPIRED 2015-11-02 2020-12-31 No data 790 DUNLAWTON AVE, SUITE F, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-04-18 790 DUNLAWTON AVE, F, PORT ORANGE, FL 32127 No data
CHANGE OF MAILING ADDRESS 2010-04-18 790 DUNLAWTON AVE, F, PORT ORANGE, FL 32127 No data

Documents

Name Date
ANNUAL REPORT 2025-01-26
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-03-29
AMENDED ANNUAL REPORT 2020-12-23
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-02-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State