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  5. TLC PEDIATRIC DENTISTRY, INC.

TLC PEDIATRIC DENTISTRY, INC. - Florida Company Profile

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Company Details

Entity Name: TLC PEDIATRIC DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Mar 2003 (22 years ago)
Document Number: P03000028145
FEI/EIN Number 510450728
Address: 6532 GUNN HIGHWAY, TAMPA, FL, 33625, US
Mail Address: 6532 GUNN HIGHWAY, TAMPA, FL, 33625, US
ZIP code: 33625
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SANJUAN DWIGHT EDMD President 6532 GUNN HIGHWAY, TAMPA, FL, 33625
SANJUAN DWIGHT EDMD Director 6532 GUNN HIGHWAY, TAMPA, FL, 33625
Wetherington Hamilton, PA Agent 812 W Dr. MLK Jr. Blvd, TAMPA,, FL, 33603

National Provider Identifier

NPI Number:
1861840654
Link:
View on NPI website

Authorized Person:

Name:
DWIGHT SANJUAN
Role:
PRESIDENT
Phone:
8138764370

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Phone:
+1 813-876-4370

Form 5500 Series

Employer Identification Number (EIN):
510450728
Plan Year:
2024
Number Of Participants:
15
Sponsors Telephone Number:
8133808095
File:
View File
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
8133808095
File:
View File
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
8133808095
File:
View File
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
8133808095
File:
View File
Plan Year:
2020
Number Of Participants:
12
Sponsors Telephone Number:
8133808095
File:
View File

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-02-03 Wetherington Hamilton, PA -
REGISTERED AGENT ADDRESS CHANGED 2020-02-03 812 W Dr. MLK Jr. Blvd, Suite 101, TAMPA,, FL 33603 -

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-01-24
ANNUAL REPORT 2015-02-26

USAspending Awards / Financial Assistance

Date:
2021-01-26
Link:
View on USAspending
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:
117045.00
Total Face Value Of Loan:
117045.00
Date:
2020-05-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
80400.00
Total Face Value Of Loan:
80400.00
Date:
2020-05-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
80400.00
Total Face Value Of Loan:
80400.00
Date:
2020-04-30
Link:
View on USAspending
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:
109400.00
Total Face Value Of Loan:
109400.00
Date:
2020-04-30
Link:
View on USAspending
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:
109400.00
Total Face Value Of Loan:
109400.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$117,045
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$117,045
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$118,189.8
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $117,044
Utilities: $1
Jobs Reported:
14
Initial Approval Amount:
$109,400
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$109,400
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$110,718.79
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $109,400

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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