Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33625
    5. ›
  5. TLC PEDIATRIC DENTISTRY, INC.

TLC PEDIATRIC DENTISTRY, INC.

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
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

Agent

Name Role Address
Wetherington Hamilton, PA Agent 812 W Dr. MLK Jr. Blvd, TAMPA,, FL, 33603

President

Name Role Address
SANJUAN DWIGHT EDMD President 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Director

Name Role Address
SANJUAN DWIGHT EDMD Director 6532 GUNN HIGHWAY, TAMPA, FL, 33625

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-02-03 Wetherington Hamilton, PA No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-03 812 W Dr. MLK Jr. Blvd, Suite 101, TAMPA,, FL 33603 No data

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

Related by officers

SANJUAN DWIGHT EDMD

D & S SANJUAN, LLC

Wetherington Hamilton, PA

LUIS ALEJANDRO, INC. MY TRADING BLOCK LLC MEADOW LAKES & ANGLERS HOMEOWNERS ASSOCIATION, INC. ATSOPS, LLC SNL INVESTMENTS, LLC A & M TOWING INC D & S SANJUAN, LLC 4401 NORTH FLORIDA LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated