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  5. TLC PEDIATRIC DENTISTRY, INC.

TLC PEDIATRIC DENTISTRY, INC. - Florida Company Profile

Company Details

Entity Name: TLC PEDIATRIC DENTISTRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TLC PEDIATRIC DENTISTRY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 10 Mar 2003 (22 years ago)
Document Number: P03000028145
FEI/EIN Number 510450728

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6532 GUNN HIGHWAY, TAMPA, FL, 33625, US
Mail Address: 6532 GUNN HIGHWAY, TAMPA, FL, 33625, US
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861840654 2016-06-02 2016-06-02 3223 S DALE MABRY HWY, TAMPA, FL, 336297815, US 3223 S DALE MABRY HWY, TAMPA, FL, 336297815, US

Contacts
Phone +1 813-876-4370

Authorized person
Name DWIGHT SANJUAN
Role PRESIDENT
Phone 8138764370

Taxonomy
Taxonomy Code 305R00000X - Preferred Provider Organization
License Number B15486
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TLC PEDIATRIC DENTISTRY INC 401(K) PROFIT SHARING PLAN & TRUST 2023 510450728 2024-05-06 TLC PEDIATRIC DENTISTRY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing DWIGHT SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 510450728 2023-04-17 TLC PEDIATRIC DENTISTRY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2023-04-17
Name of individual signing DWIGHT SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 510450728 2022-05-12 TLC PEDIATRIC DENTISTRY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2022-05-12
Name of individual signing DWIGHT SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 510450728 2021-06-21 TLC PEDIATRIC DENTISTRY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing MARTHAJOHNSTON
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 510450728 2020-07-28 TLC PEDIATRIC DENTISTRY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing SANDRA SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401 K PROFIT SHARING PLAN TRUST 2018 510450728 2019-04-05 TLC PEDIATRIC DENTISTRY INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2019-04-05
Name of individual signing DWIGHT SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY INC 401 K PROFIT SHARING PLAN TRUST 2017 510450728 2018-04-17 TLC PEDIATRIC DENTISTRY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8133808095
Plan sponsor’s address 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing DWIGHT SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY, INC. 401(K) RETIREMENT PLAN 2015 510450728 2016-05-31 TLC PEDIATRIC DENTISTRY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8139690999
Plan sponsor’s address 6532 GUNN HWY., TAMPA, FL, 33625
TLC PEDIATRIC DENTISTRY, INC. 401(K) RETIREMENT PLAN 2014 510450728 2015-12-14 TLC PEDIATRIC DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8139690999
Plan sponsor’s address 6532 GUNN HWY., TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2015-12-14
Name of individual signing DWIGHT E. SANJUAN
Valid signature Filed with authorized/valid electronic signature
TLC PEDIATRIC DENTISTRY, INC. 401(K) RETIREMENT PLAN 2014 510450728 2015-10-15 TLC PEDIATRIC DENTISTRY, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8139690999
Plan sponsor’s address 6532 GUNN HWY., TAMPA, FL, 33625

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DWIGHT E. SANJUAN
Valid signature Filed with authorized/valid electronic signature

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6273098303 2021-01-26 0455 PPS 6532 Gunn Hwy, Tampa, FL, 33625-4022
Loan Status Date 2022-02-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 117045
Loan Approval Amount (current) 117045
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33625-4022
Project Congressional District FL-14
Number of Employees 14
NAICS code 621999
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 118189.8
Forgiveness Paid Date 2022-01-26
5107967308 2020-04-30 0455 PPP 6532 Gunn Hwy,, Tampa, FL, 33625
Loan Status Date 2021-08-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 109400
Loan Approval Amount (current) 109400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33625-1000
Project Congressional District FL-14
Number of Employees 14
NAICS code 621999
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 110718.79
Forgiveness Paid Date 2021-07-21

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Companies related by address

No other companies in our directory share the same address as TLC PEDIATRIC DENTISTRY, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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