Search icon

CONWAY OAKS DENTAL, PLLC

Company Details

Entity Name: CONWAY OAKS DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Sep 2018 (6 years ago)
Document Number: L18000216236
FEI/EIN Number 83-1895020
Address: 3221 S. Conway Rd., Suite - A, Orlando, FL 32812
Mail Address: 3221 S. Conway Rd., Suite - A, Orlando, FL 32812
ZIP code: 32812
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609402197 2020-03-17 2020-03-17 3221 CONWAY RD STE A, ORLANDO, FL, 328127354, US 3221 CONWAY RD STE A, ORLANDO, FL, 328127354, US

Contacts

Phone +1 407-277-0981

Authorized person

Name PETER KELLY
Role OWNER
Phone 4104103031

Taxonomy

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

Other Provider Identifiers

Issuer STATE LICENSE
Number DN19430
State FL

Agent

Name Role Address
KELLY, PETER Agent 3221 S. Conway Rd., Suite - A, Orlando, FL 32812

Manager

Name Role Address
KELLY, PETER Manager 865 BALCH AVENUE, WINTER PARK, FL 32789 UN
Lyman, Austin Manager 3221 S. Conway Rd., Suite - A Orlando, FL 32812

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-15 3221 S. Conway Rd., Suite - A, Orlando, FL 32812 No data
CHANGE OF MAILING ADDRESS 2020-06-15 3221 S. Conway Rd., Suite - A, Orlando, FL 32812 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-15 3221 S. Conway Rd., Suite - A, Orlando, FL 32812 No data

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-12
AMENDED ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-23
Florida Limited Liability 2018-09-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4580347202 2020-04-27 0491 PPP 3221 Conway Road 0, Orlando, FL, 32812-7353
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118700
Loan Approval Amount (current) 118700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32812-7353
Project Congressional District FL-09
Number of Employees 12
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 119459.06
Forgiveness Paid Date 2021-02-12
3227178603 2021-03-16 0491 PPS 3221 Conway Rd Ste A, Orlando, FL, 32812-7354
Loan Status Date 2022-01-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 255100
Loan Approval Amount (current) 255100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 49274
Servicing Lender Name Citibank, N.A.
Servicing Lender Address 5800 S. Corporate Place, Sioux Falls, SD, 57108
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orlando, ORANGE, FL, 32812-7354
Project Congressional District FL-09
Number of Employees 21
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 49274
Originating Lender Name Citibank, N.A.
Originating Lender Address Sioux Falls, SD
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 256864.44
Forgiveness Paid Date 2021-12-02

Date of last update: 16 Feb 2025

Sources: Florida Department of State