0001015325-20-000009.txt : 20200131 0001015325-20-000009.hdr.sgml : 20200131 20200131110953 ACCESSION NUMBER: 0001015325-20-000009 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200131 DATE AS OF CHANGE: 20200131 EFFECTIVENESS DATE: 20200131 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Georgia Dental Management LLC CENTRAL INDEX KEY: 0001801692 IRS NUMBER: 844095939 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-359457 FILM NUMBER: 20563865 BUSINESS ADDRESS: STREET 1: 5106 OAK STREET CITY: EASTMAN STATE: GA ZIP: 31023 BUSINESS PHONE: 478-998-3365 MAIL ADDRESS: STREET 1: 5106 OAK STREET CITY: EASTMAN STATE: GA ZIP: 31023 D 1 primary_doc.xml X0708 D LIVE 0001801692 Georgia Dental Management LLC 5106 OAK STREET EASTMAN GA GEORGIA 31023 478-998-3365 GEORGIA None None Limited Liability Company true 2019 Jonathan B. Dangar c/o Georgia Dental Management LLC 5106 Oak Street Eastman GA GEORGIA 31023 Director Michael Knight, D.D.S. c/o Georgia Dental Management LLC 5106 Oak Street Eastman GA GEORGIA 31023 Director Steve Daniel Watts, Jr. c/o Georgia Dental Management LLC 5106 Oak Street Eastman GA GEORGIA 31023 Executive Officer Director Nettie Hatcher c/o Georgia Dental Management LLC 5106 Oak Street Eastman GA GEORGIA 31023 Executive Officer Other Health Care Decline to Disclose 06b false 2020-01-17 false true true true 0 4050050 2100050 1950000 false 3 0 0 0 false Georgia Dental Management LLC /s/ Steve Daniel Watts, Jr. Steve Daniel Watts, Jr. Chief Executive Officer 2020-01-31