| Entity Name: | FAMILY DENTAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FAMILY DENTAL GROUP, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 May 1991 (34 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | S52521 |
| FEI/EIN Number |
593067872
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2727 W. M.L. KING JR. BLVD., SUITE 120, TAMPA, FL, 33607 |
| Mail Address: | 2727 W. M.L. KING JR. BLVD., SUITE 120, TAMPA, FL, 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790825289 | 2007-02-07 | 2011-12-01 | 2727 W DR MARTIN LUTHER KING JR BLVD STE 120, TAMPA, FL, 336076353, US | 2727 W DR MARTIN LUTHER KING JR BLVD STE 120, TAMPA, FL, 336076353, US | |||||||||||||||||||||||||
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| Phone | +1 813-873-9100 |
| Fax | 8138739176 |
Authorized person
| Name | DR. NATHAN A GRADDY |
| Role | PRESIDENT DENTIST |
| Phone | 8132210010 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN4964 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 072704100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRADDY NATHAN | President | 4819 CHEVAL BLVD, LUTZ, FL, 33558 |
| BUCHANAN MARLENE | Secretary | 4819 CHEVAL BLVD, LUTZ, FL, 33558 |
| BUCHANAN MARLENE | Treasurer | 4819 CHEVAL BLVD, LUTZ, FL, 33558 |
| GRADDY, NATHAN | Agent | 2727 W. MARTIN LUTHER KING BLVD., TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-13 | 2727 W. M.L. KING JR. BLVD., SUITE 120, TAMPA, FL 33607 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-13 | 2727 W. M.L. KING JR. BLVD., SUITE 120, TAMPA, FL 33607 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-13 | 2727 W. MARTIN LUTHER KING BLVD., SUITE 120, TAMPA, FL 33607 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-22 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-03-04 |
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2010-06-24 |
| ANNUAL REPORT | 2009-06-17 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-04-30 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
