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  5. ORAL-FACIAL & IMPLANT SURGERY, P.A.

ORAL-FACIAL & IMPLANT SURGERY, P.A.

Company Details

Entity Name: ORAL-FACIAL & IMPLANT SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 13 May 1980 (45 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 29 May 1996 (29 years ago)
Document Number: 670000
FEI/EIN Number 59-2013100
Address: 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904
Mail Address: 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904
ZIP code: 33904
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831369024 2008-03-04 2019-06-19 2534 SE SANTA BARBARA PL # 101, CAPE CORAL, FL, 339042709, US 2534 SE SANTA BARBARA PL # 101, CAPE CORAL, FL, 33904, US

Contacts
Phone +1 239-574-3323
Fax 2395742381

Authorized person
Name DR. JAY C. CAGATA
Role PRESIDENT
Phone 2395743323

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2021 592013100 2022-01-20 ORAL-FACIAL & IMPLANT SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 2534 SE SANTA BARBARA PLACE,, SUITE 101, CAPE CORAL, FL, 33904
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2020 592013100 2021-04-30 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 2534 SE SANTA BARBARA PLACE,, SUITE 101, CAPE CORAL, FL, 33904
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2019 592013100 2020-08-28 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 2534 SE SANTA BARBARA PLACE,, SUITE 101, CAPE CORAL, FL, 33904
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2018 592013100 2019-09-12 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 1537 BRANTLEY ROAD, FORT MYERS, FL, 33907
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2017 592013100 2018-06-29 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 1537 BRANTLEY ROAD, FORT MYERS, FL, 33907
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2016 592013100 2017-07-25 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 1537 BRANTLEY ROAD, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2015 592013100 2016-09-16 ORAL-FACIAL & IMPLANT SURGERY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 1537 BRANTLEY ROAD, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2014 592013100 2015-07-15 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 625 DEL PRADO BOULEVARD, CAPE CORAL, FL, 33990

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2013 592013100 2014-08-26 ORAL-FACIAL & IMPLANT SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 625 DEL PRADO BOULEVARD, CAPE CORAL, FL, 33990

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-26
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL-FACIAL & IMPLANT SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2012 592013100 2013-09-05 ORAL-FACIAL & IMPLANT SURGERY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621210
Sponsor’s telephone number 2395743323
Plan sponsor’s address 625 DEL PRADO BOULEVARD, CAPE CORAL, FL, 33990

Signature of
Role Plan administrator
Date 2013-09-05
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-05
Name of individual signing STEPHEN F. ANDERSON, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Cagata, Jay C, Dr. Agent 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904

President

Name Role Address
Cagata, Jay C, Dr. President 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904

Vice President

Name Role Address
Anderson, Stephen F, Dr. Vice President 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-10 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904 No data
CHANGE OF MAILING ADDRESS 2020-03-10 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904 No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-10 2534 SE SANTA BARBARA PL #101, CAPE CORAL, FL 33904 No data
REGISTERED AGENT NAME CHANGED 2014-02-16 Cagata, Jay C, Dr. No data
NAME CHANGE AMENDMENT 1996-05-29 ORAL-FACIAL & IMPLANT SURGERY, P.A. No data
NAME CHANGE AMENDMENT 1983-08-18 S. F. ANDERSON, D.D.S. AND C. B. HOEK, D.D.S., A PROFESSIONAL ASSOCIATION No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-03-10
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-29

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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