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  5. OLDSMAR DENTAL, PLLC

OLDSMAR DENTAL, PLLC - Florida Company Profile

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Company Details

Entity Name: OLDSMAR DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jan 2016 (10 years ago)
Document Number: L16000016457
FEI/EIN Number 81-1376799
Address: 4050 TAMPA ROAD, OLDSMAR, FL, 34677, US
Mail Address: 5810 SCHOONER WAY, TAMPA, FL, 33615, US
ZIP code: 34677
City: Oldsmar
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BURCHELL LORI D.M.D. Manager 5810 SCHOONER WAY, TAMPA, FL, 33615
MAGIDSON MICHAEL D Agent 333 THIRD AVENUE NORTH, SUITE 200, ST PETERSBURG, FL, 33701

National Provider Identifier

NPI Number:
1245772078
Link:
View on NPI website

Authorized Person:

Name:
DR. LORI ELIZABETH BURCHELL
Role:
DOCTOR/OWNER
Phone:
8138554269

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 813-855-4269
Fax:
8138554277

Form 5500 Series

Employer Identification Number (EIN):
811376799
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
8137679503
File:
View File
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
8137679503
File:
View File
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
8137679503
File:
View File
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
8137679503
File:
View File
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
8137679503
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000018489 OLDSMAR DENTISTRY ACTIVE 2016-02-19 2026-12-31 - 4050 TAMPA ROAD, OLDSMAR, FL, 34677

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-02-08
Florida Limited Liability 2016-01-27

USAspending Awards / Financial Assistance

Date:
2021-03-20
Link:
View on USAspending
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:
71305.00
Total Face Value Of Loan:
71305.00
Date:
2020-05-03
Link:
View on USAspending
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:
71944.00
Total Face Value Of Loan:
71944.00
Date:
2016-02-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
695000.00
Total Face Value Of Loan:
695000.00
Date:
2016-02-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
695000.00
Total Face Value Of Loan:
695000.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$71,305
Date Approved:
2021-03-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$71,305
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$71,771.9
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $71,305
Jobs Reported:
6
Initial Approval Amount:
$71,944
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$71,944
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$72,438.74
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $71,944

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Date of last update: 03 Aug 2025

Sources: Florida Department of State

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