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KASEM DENTAL, LLC - Florida Company Profile

Company Details

Entity Name: KASEM DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

KASEM DENTAL, 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: 24 Apr 2017 (8 years ago)
Document Number: L17000089550
FEI/EIN Number 82-1311166

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2560 E HWY 50, #103, CLERMONT, FL, 34711, US
Mail Address: 2560 E. Hwy 50 #103, Clermont, FL, 34711, US
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962240127 2024-07-19 2024-07-19 965 SADIE RIDGE RD, CLERMONT, FL, 347150027, US 2560 E HWY 50 STE 103, CLERMONT, FL, 347118411, US

Contacts

Phone +1 850-443-4879
Phone +1 352-989-5815

Authorized person

Name NUSRAT KASEM
Role MANAGER
Phone 8504434879

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Key Officers & Management

Name Role Address
Kasem Shovon Manager 2560 E HWY 50 STE 103, CLERMONT, FL, 34711
KASEM SHOVON Agent 2560 E HIGHWAY 50 STE 103, Clermont, FL, 34711

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000157500 RESTORATION DENTAL ACTIVE 2024-12-28 2029-12-31 - 965 SADIE RIDGE ROAD, CLERMONT, FL, 34715
G24000084426 RESTORATION DENTAL ACTIVE 2024-07-15 2029-12-31 - 965 SADIE RIDGE ROAD, CLERMONT, FL, 34715
G17000111495 HANCOCK VILLAGE DENTAL ACTIVE 2017-10-09 2027-12-31 - 2560 E. HWY 50 #103, CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-01-03 2560 E HWY 50, #103, CLERMONT, FL 34711 -
REGISTERED AGENT ADDRESS CHANGED 2019-01-03 2560 E HIGHWAY 50 STE 103, Clermont, FL 34711 -
CHANGE OF PRINCIPAL ADDRESS 2018-04-25 2560 E HWY 50, #103, CLERMONT, FL 34711 -

Documents

Name Date
ANNUAL REPORT 2025-02-01
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-04-25
Florida Limited Liability 2017-04-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5441767705 2020-05-01 0491 PPP 2560 E HWY 50 # 130, CLERMONT, FL, 34711-8411
Loan Status Date 2021-07-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 79141
Loan Approval Amount (current) 79141
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address CLERMONT, LAKE, FL, 34711-8411
Project Congressional District FL-11
Number of Employees 10
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 80016.97
Forgiveness Paid Date 2021-06-17
6944928305 2021-01-27 0491 PPS 2560 E Highway 50 Ste 103, Clermont, FL, 34711-8411
Loan Status Date 2021-11-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 86242
Loan Approval Amount (current) 86242
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Clermont, LAKE, FL, 34711-8411
Project Congressional District FL-11
Number of Employees 11
NAICS code 621210
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 86865.78
Forgiveness Paid Date 2021-10-20

Date of last update: 01 Apr 2025

Sources: Florida Department of State