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AFFORDABLE DENTURES - TAMPA, P.A. - Florida Company Profile

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Company Details

Entity Name: AFFORDABLE DENTURES - TAMPA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Oct 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Mar 2020 (5 years ago)
Document Number: P05000136378
FEI/EIN Number 203467207
Mail Address: 629 Davis Drive, Morrisville, NC, 27560, US
Address: 14936 N FLORIDA AVE, STE 101, TAMPA, FL, 33613
ZIP code: 33613
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
HACKNEY JASE R President 14936 N FLORIDA AVE, STE 101, TAMPA, FL, 33613
Gaines Brett Secretary 14936 N FLORIDA AVE, STE 101, TAMPA, FL, 33613
Lasseter Anna Secretary 629 Davis Drive, Morrisville, NC, 27560

National Provider Identifier

NPI Number:
1942345004
Certification Date:
2024-09-23

Authorized Person:

Name:
DR. JASE R HACKNEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000071269 AFFORDABLE DENTURES & IMPLANTS - TAMPA ACTIVE 2020-06-23 2025-12-31 - 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560
G14000105954 AFTER 5 URGENT DENTAL - TAMPA EXPIRED 2014-10-20 2019-12-31 - PO BOX 1042, KINSTON, NC, 28503

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-03-30 - -
CHANGE OF MAILING ADDRESS 2020-03-30 14936 N FLORIDA AVE, STE 101, TAMPA, FL 33613 -
REGISTERED AGENT ADDRESS CHANGED 2020-03-30 NRAI, Inc, Morrisville, FL 27560 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT NAME CHANGED 2015-04-23 National Registered Agents, Inc. -
CHANGE OF PRINCIPAL ADDRESS 2012-04-05 14936 N FLORIDA AVE, STE 101, TAMPA, FL 33613 -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-04-01
ANNUAL REPORT 2021-04-27
REINSTATEMENT 2020-03-30
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-03-26
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-23

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$143,752
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$143,752
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$145,508.53
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $143,752

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Date of last update: 03 Aug 2025

Sources: Florida Department of State