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J. KIM PERIODONTICS, LLC - Florida Company Profile

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Company Details

Entity Name: J. KIM PERIODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Oct 2015 (10 years ago)
Document Number: L04000034360
FEI/EIN Number 352230551
Address: 4570 CLYDE MORRIS BLVD., STE. 1, PORT ORANGE, FL, 32129, US
Mail Address: 4570 CLYDE MORRIS BLVD., STE. 1, PORT ORANGE, FL, 32129, US
ZIP code: 32129
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KIM JEFFREY M Managing Member 4570 CLYDE MORRIS BLVD., PORT ORANGE, FL, 32129
Kim Jeffrey MDr. Agent 4570 CLYDE MORRIS BLVD., PORT ORANGE, FL, 32129

National Provider Identifier

NPI Number:
1629198551

Authorized Person:

Name:
DR. JEFFREY M KIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000067081 JEFF KIM DENTAL ACTIVE 2024-05-27 2029-12-31 - 4570 CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL, 32129
G09000112762 ULLTIMATE DENTAL STUDIO EXPIRED 2009-06-02 2014-12-31 - 4570 SOUTH CLYDE MORRIS BLVD., PORT ORANGE, FL, 32129

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-11 4570 CLYDE MORRIS BLVD., STE. 1, PORT ORANGE, FL 32129 -
CHANGE OF MAILING ADDRESS 2021-01-11 4570 CLYDE MORRIS BLVD., STE. 1, PORT ORANGE, FL 32129 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-11 4570 CLYDE MORRIS BLVD., STE. 1, PORT ORANGE, FL 32129 -
REINSTATEMENT 2015-10-15 - -
REGISTERED AGENT NAME CHANGED 2015-10-15 Kim, Jeffrey Mark, Dr. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-27

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
59900.00
Total Face Value Of Loan:
59900.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
59900.00
Total Face Value Of Loan:
59900.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$59,900
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,558.9
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $59,900

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Date of last update: 01 Aug 2025

Sources: Florida Department of State