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EXCEPTIONAL DENTAL OF SAINT PETERSBURG, LLC - Florida Company Profile

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Company Details

Entity Name: EXCEPTIONAL DENTAL OF SAINT PETERSBURG, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EXCEPTIONAL DENTAL OF SAINT PETERSBURG, 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: 30 Nov 2017 (8 years ago)
Document Number: L17000245850
FEI/EIN Number 82-3725715

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

Address: 3238 4th St N, Saint Petersburg, FL, 33704, US
Mail Address: 3238 4th St N, Saint Petersburg, FL, 33704, US
ZIP code: 33704
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DELASSEN JAN F Manager 3238 4th St N, Saint Petersburg, FL, 33704
NGUYEN THUY T Manager 3238 4th St N, Saint Petersburg, FL, 33704
DELASSEN JAN F Agent 3238 4th St N, Saint Petersburg, FL, 33704

National Provider Identifier

NPI Number:
1255848768

Authorized Person:

Name:
DR. THUY NGUYEN
Role:
GENERAL DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
823725715
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-01-17 3238 4th St N, Saint Petersburg, FL 33704 -
CHANGE OF MAILING ADDRESS 2019-01-17 3238 4th St N, Saint Petersburg, FL 33704 -
REGISTERED AGENT ADDRESS CHANGED 2019-01-17 3238 4th St N, Saint Petersburg, FL 33704 -

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-04-26
Florida Limited Liability 2017-11-30

USAspending Awards / Financial Assistance

Date:
2021-04-07
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:
97230.00
Total Face Value Of Loan:
97230.00
Date:
2020-05-02
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:
98635.00
Total Face Value Of Loan:
98635.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$97,230
Date Approved:
2021-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$97,230
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$98,460.69
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $97,228
Utilities: $1
Jobs Reported:
13
Initial Approval Amount:
$98,635
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$98,635
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$99,282.63
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $98,635

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Date of last update: 01 Jul 2025

Sources: Florida Department of State