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NEW TAMPA DENTAL, P.A.

Company Details

Entity Name: NEW TAMPA DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jan 1999 (26 years ago)
Document Number: P99000008996
FEI/EIN Number 593570970
Address: 5840 Mariner St, TAMPA, FL, 33609, US
Mail Address: 5840 Mariner St, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568890036 2013-10-21 2013-10-21 18101 HIGHWOODS PRESERVE PKWY, SUITE 200, TAMPA, FL, 336471791, US 18101 HIGHWOODS PRESERVE PKWY, SUITE 200, TAMPA, FL, 336471791, US

Contacts

Phone +1 813-903-9877
Fax 8139039874

Authorized person

Name DR. DOUG Q NGUYEN
Role OWNER/DENTIST
Phone 8139039877

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN13930
State FL
Is Primary Yes
Taxonomy Code 122300000X - Dentist
License Number DN13967
State FL
Is Primary No

Agent

Name Role Address
NGUYEN DOUG Q Agent 5840 Mariner St, TAMPA, FL, 33609

DSTP

Name Role Address
NGUYEN DOUG Q DSTP 5840 Mariner St, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-14 5840 Mariner St, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2018-01-14 5840 Mariner St, TAMPA, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-14 5840 Mariner St, TAMPA, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2009-04-09 NGUYEN, DOUG Q No data

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-03-25
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-04-04
ANNUAL REPORT 2020-05-25
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-02-12
ANNUAL REPORT 2016-02-27
ANNUAL REPORT 2015-02-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State