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CORNERSTONE DENTISTRY HOLDINGS, PLLC

Company Details

Entity Name: CORNERSTONE DENTISTRY HOLDINGS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Aug 2017 (8 years ago)
Document Number: L17000169149
FEI/EIN Number 82-2470016
Address: 8533 Lake Nona Shore Dr, ORLANDO, FL 32827
Mail Address: 8533 Lake Nona Shore Dr, ORLANDO, FL 32827
ZIP code: 32827
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710499538 2017-11-02 2023-06-20 PO BOX 70887, CLEVELAND, OH, 441900887, US 800 E MERRITT ISLAND CSWY STE 105, MERRITT ISLAND, FL, 329523514, US

Contacts

Phone +1 321-453-8882

Authorized person

Name JERE GILLAN
Role OWNER
Phone 3214538882

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
DFS AGENT, LLC Agent

Manager

Name Role Address
GILLAN, JERE, DMD Manager 8533 Lake Nona Shore Dr, ORLANDO, FL 32827

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000006640 ASPEN DENTAL ACTIVE 2025-01-15 2030-12-31 No data 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057
G24000031448 ASPEN DENTAL ACTIVE 2024-02-29 2029-12-31 No data 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057
G22000099603 ASPEN DENTAL ACTIVE 2022-08-23 2027-12-31 No data 281 SANDERS CREEK PARKWAY NY, EAST SYRACUSE, NY, 13057
G19000067520 ASPEN DENTAL EXPIRED 2019-06-13 2024-12-31 No data 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY, 13057
G19000034928 ASPEN DENTAL ACTIVE 2019-03-15 2029-12-31 No data 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-26 8533 Lake Nona Shore Dr, ORLANDO, FL 32827 No data
CHANGE OF MAILING ADDRESS 2022-04-26 8533 Lake Nona Shore Dr, ORLANDO, FL 32827 No data
REGISTERED AGENT NAME CHANGED 2018-03-27 DFS Agent LLC No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-27 1760 N Jog Road, Suite 150, West Palm Beach, FL 33411 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-03-27
Florida Limited Liability 2017-08-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2637917101 2020-04-11 0455 PPP 660 US Highway One, NORTH PALM BEACH, FL, 33408
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1090100
Loan Approval Amount (current) 1090100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address NORTH PALM BEACH, PALM BEACH, FL, 33408-0001
Project Congressional District FL-21
Number of Employees 79
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1100254.36
Forgiveness Paid Date 2021-03-31
5545858905 2021-04-30 0491 PPS 10120 Loblolly Pine Cir, Orlando, FL, 32827-6867
Loan Status Date 2022-03-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1028022
Loan Approval Amount (current) 1028022
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32827-6867
Project Congressional District FL-09
Number of Employees 100
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1034950.59
Forgiveness Paid Date 2022-02-04

Date of last update: 18 Feb 2025

Sources: Florida Department of State