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SEAN M. ALTENBACH, D.M.D., P.L.

Company Details

Entity Name: SEAN M. ALTENBACH, D.M.D., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Nov 2012 (12 years ago)
Document Number: L12000143424
FEI/EIN Number 46-1391035
Address: 8841 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
Mail Address: 8841 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
ZIP code: 32217
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124863865 2024-06-25 2024-06-25 8841 SAN JOSE BLVD, JACKSONVILLE, FL, 322174244, US 8841 SAN JOSE BLVD, JACKSONVILLE, FL, 322174244, US

Contacts

Phone +1 904-448-0441
Fax 9044480456

Authorized person

Name SEAN ALTENBACH
Role OWNER
Phone 9044224150

Taxonomy

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

Agent

Name Role Address
ALTENBACH SEAN M Agent 8841 SAN JOSE BLVD., JACKSONVILLE, FL, 32217

Manager

Name Role Address
ALTENBACH SEAN M Manager 8841 SAN JOSE BLVD., JACKSONVILLE, FL, 32217
ALTENBACH LYDIA D Manager 8841 SAN JOSE BLVD., JACKSONVILLE, FL, 32217

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6842268307 2021-01-27 0491 PPS 8841 San Jose Blvd, Jacksonville, FL, 32217-4244
Loan Status Date 2021-12-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70442
Loan Approval Amount (current) 70442
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123987
Servicing Lender Name Cogent Bank
Servicing Lender Address 420 S Orange Ave, Ste 150, ORLANDO, FL, 32801
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32217-4244
Project Congressional District FL-05
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 123987
Originating Lender Name Cogent Bank
Originating Lender Address ORLANDO, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70978.14
Forgiveness Paid Date 2021-11-18
4494907110 2020-04-13 0491 PPP 2024 Waterway Island Lane, JACKSONVILLE BEACH, FL, 32250-0914
Loan Status Date 2021-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 75000
Loan Approval Amount (current) 75000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE BEACH, DUVAL, FL, 32250-0914
Project Congressional District FL-05
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 75564.58
Forgiveness Paid Date 2021-02-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State