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  5. DENTIHEALTH LLC

DENTIHEALTH LLC - Florida Company Profile

Company Details

Entity Name: DENTIHEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DENTIHEALTH LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Apr 2003 (22 years ago)
Document Number: L03000015451
FEI/EIN Number 200010640

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986
Mail Address: 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013567387 2019-09-18 2019-09-18 150 SW CHAMBER CT STE 201, PORT SAINT LUCIE, FL, 349863413, US 150 SW CHAMBER CT STE 201, PORT SAINT LUCIE, FL, 349863413, US

Contacts
Phone +1 772-336-8253

Authorized person
Name DR. JAROSLAW CEGIELSKI
Role OWNER
Phone 7723368253

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTIHEALTH, LLC 401-K PLAN 2023 200010640 2024-08-08 DENTIHEALTH, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2024-08-08
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2022 200010640 2023-10-05 DENTIHEALTH, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2021 200010640 2023-02-15 DENTIHEALTH, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2023-02-15
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2020 200010640 2021-10-15 DENTIHEALTH, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2019 200010640 2020-09-16 DENTIHEALTH, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2020-09-16
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-16
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2018 200010640 2019-10-14 DENTIHEALTH, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2017 200010640 2018-10-10 DENTIHEALTH, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2016 200010640 2017-10-10 DENTIHEALTH, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-10
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2015 200010640 2016-10-11 DENTIHEALTH, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature
DENTIHEALTH, LLC 401-K PLAN 2014 200010640 2015-10-02 DENTIHEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7723368253
Plan sponsor’s address 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing JAROSLAW CEGIELSKI
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CEGIELSKI JAROSLAW D Managing Member 150 SW CHAMBER COURT #201, PORT ST LUCIE, FL, 34986
CEGIELSKI JAROSLAW D Agent 150 SW CHAMBER COURT, PORT ST LUCIE, FL, 34986

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2009-02-06 150 SW CHAMBER COURT, SUITE 201, PORT ST LUCIE, FL 34986 -
CHANGE OF PRINCIPAL ADDRESS 2007-03-22 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL 34986 -
CHANGE OF MAILING ADDRESS 2007-03-22 150 SW CHAMBER COURT, SUITE 201, PORT ST. LUCIE, FL 34986 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-06-16
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-05-17
ANNUAL REPORT 2015-03-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7032028809 2021-04-21 0455 PPS 150 SW Chamber Ct Ste 201, Port Saint Lucie, FL, 34986-3413
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 29460
Loan Approval Amount (current) 29460
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Port Saint Lucie, SAINT LUCIE, FL, 34986-3413
Project Congressional District FL-21
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 29662.1
Forgiveness Paid Date 2022-01-03
1485347701 2020-05-01 0455 PPP 150 SW CHAMBER CT STE 201, PORT SAINT LUCIE, FL, 34986
Loan Status Date 2021-05-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 35712
Loan Approval Amount (current) 35712
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT SAINT LUCIE, SAINT LUCIE, FL, 34986-1300
Project Congressional District FL-21
Number of Employees 3
NAICS code 551112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 36042.53
Forgiveness Paid Date 2021-04-08

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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