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STEVENS DENTAL PLLC - Florida Company Profile

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Company Details

Entity Name: STEVENS DENTAL PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Dec 2018 (7 years ago)
Document Number: L18000277726
FEI/EIN Number 83-2732656
Address: 840 US- 1, NORTH PALM BEACH, FL, 33408, US
Mail Address: 840 US- 1, NORTH PALM BEACH, FL, 33408, US
ZIP code: 33408
City: North Palm Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STEVENS ERIC D Authorized Member 840 US- 1, NORTH PALM BEACH, FL, 33408
Stevens Eric DDr. Agent 840 US- 1, NORTH PALM BEACH, FL, 33408

National Provider Identifier

NPI Number:
1730748765

Authorized Person:

Name:
DR. ERIC STEVENS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5616226107

Form 5500 Series

Employer Identification Number (EIN):
832732656
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000085809 CUSTOM DENTISTRY ACTIVE 2020-07-21 2030-12-31 - 840 US HIGHWAY 1, STE 205, NORTH PALM BEACH, FL, 33408
G19000073677 CUSTOM DENTISTRY PBG EXPIRED 2019-07-04 2024-12-31 - 2700 PGA BOULEVARD, SUITE 202B, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-09-08 840 US- 1, SUITE 205, NORTH PALM BEACH, FL 33408 -
CHANGE OF PRINCIPAL ADDRESS 2022-06-23 840 US- 1, SUITE 205, NORTH PALM BEACH, FL 33408 -
CHANGE OF MAILING ADDRESS 2022-06-23 840 US- 1, SUITE 205, NORTH PALM BEACH, FL 33408 -
REGISTERED AGENT NAME CHANGED 2022-04-26 Stevens, Eric Daniel, Dr. -

Documents

Name Date
ANNUAL REPORT 2024-03-29
ANNUAL REPORT 2023-03-08
AMENDED ANNUAL REPORT 2022-09-08
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-05-10
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-12-03

USAspending Awards / Financial Assistance

Date:
2021-02-18
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:
29300.00
Total Face Value Of Loan:
29300.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$29,300
Date Approved:
2021-02-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$29,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,474.19
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $29,298
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State