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  5. PRECISION DENTAL GROUP, LLC

PRECISION DENTAL GROUP, LLC

Company Details

Entity Name: PRECISION DENTAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Nov 2007 (17 years ago)
Document Number: L07000114334
FEI/EIN Number 262160695
Address: 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL, 33609, US
Mail Address: 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326594516 2016-08-29 2016-08-30 4129 W KENNEDY BLVD, STE 1, TAMPA, FL, 336092254, US 4129 W KENNEDY BLVD, STE 1, TAMPA, FL, 336092254, US

Contacts
Phone +1 813-288-9700

Authorized person
Name LUIS ALICEA
Role OWNER
Phone 8132889700

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRECISION DENTAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 262160695 2024-07-25 PRECISION DENTAL GROUP LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing LUIS ALICEA
Valid signature Filed with authorized/valid electronic signature
PRECISION DENTAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 262160695 2023-07-26 PRECISION DENTAL GROUP LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing MAGDA QUINTANA
Valid signature Filed with authorized/valid electronic signature
PRECISION DENTAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 262160695 2022-07-06 PRECISION DENTAL GROUP LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing LUIS ALICEA
Valid signature Filed with authorized/valid electronic signature
PRECISION DENTAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 262160695 2021-06-28 PRECISION DENTAL GROUP LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing LUIS ALICEA
Valid signature Filed with authorized/valid electronic signature
PRECISION DENTAL GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 262160695 2020-07-09 PRECISION DENTAL GROUP LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing LUIS ALICEA
Valid signature Filed with authorized/valid electronic signature
PRECISION DENTAL GROUP LLC 401 K PROFIT SHARING PLAN TRUST 2018 262160695 2019-07-30 PRECISION DENTAL GROUP LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8135141729
Plan sponsor’s address 4129 W KENNEDY BLVD SUITE 1, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing LUIS ALICEA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALICEA LUIS A Agent 10603 PONTOFINO CIR, TRINITY, FL, 34655

Managing Member

Name Role Address
ALICEA LUIS ADr. Managing Member 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL, 33609

Busi

Name Role Address
Quintana Magda ADr. Busi 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL, 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000023594 YOUR DESIRED SMILE ACTIVE 2024-02-12 2029-12-31 No data 4129 W KENNEDY BLVD, STE 1, TAMPA, FL, 33609
G13000102332 YOUR DESIRED SMILE EXPIRED 2013-10-16 2018-12-31 No data 4129 W KENNEDY BLVD., SUITE 1, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-05 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL 33609 No data
CHANGE OF MAILING ADDRESS 2014-03-05 4129 W. Kennedy Blvd. Ste. 1, Tampa, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2009-01-27 10603 PONTOFINO CIR, TRINITY, FL 34655 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-02-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1781987209 2020-04-15 0455 PPP 4129 W KENNEDY BLVD, TAMPA, FL, 33609-2254
Loan Status Date 2021-04-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 73200
Loan Approval Amount (current) 73200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33609-2254
Project Congressional District FL-14
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 73828.3
Forgiveness Paid Date 2021-03-10

Related by officers

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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