Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lee
    4. ›
  4. 33912
    5. ›
  5. FIDDLESTICKS DENTAL CARE, INC

FIDDLESTICKS DENTAL CARE, INC

Company Details

Entity Name: FIDDLESTICKS DENTAL CARE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2007 (17 years ago)
Document Number: P07000110582
FEI/EIN Number 113826875
Address: 13650 FIDDLESTICKS BLVD., 200, FORT MYERS, FL, 33912
Mail Address: 13650 FIDDLESTICKS BLVD., 200, FORT MYERS, FL, 33912
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265617286 2008-01-09 2008-01-09 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 339120312, US 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 339120312, US

Contacts
Phone +1 239-225-1145

Authorized person
Name DR. DEVKI A ADI
Role PRESIDENT
Phone 2392251145

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN17061
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2023 113826875 2024-07-09 FIDDLESTICKS DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2022 113826875 2023-07-11 FIDDLESTICKS DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2021 113826875 2022-07-20 FIDDLESTICKS DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2020 113826875 2021-07-09 FIDDLESTICKS DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2019 113826875 2020-02-26 FIDDLESTICKS DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2020-02-26
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2018 113826875 2019-03-19 FIDDLESTICKS DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2019-03-19
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2017 113826875 2018-04-26 FIDDLESTICKS DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2016 113826875 2017-04-25 FIDDLESTICKS DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2017-04-25
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2015 113826875 2016-08-18 FIDDLESTICKS DENTAL CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature
FIDDLESTICKS DENTAL CARE 401K PLAN AND TRUST 2014 113826875 2015-07-13 FIDDLESTICKS DENTAL CARE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2392251145
Plan sponsor’s address 13650 FIDDLESTICKS BLVD, SUITE 200, FORT MYERS, FL, 33912

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing DEVKI ADI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADI DEVKI Agent 6791 MOSSY GLEN DRIVE, FORT MYERS, FL, 33908

President

Name Role Address
ADI DEVKI President 6791 MOSSY GLEN DRIVE, FORT MYERS, FL, 33908

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-03-17 13650 FIDDLESTICKS BLVD., 200, FORT MYERS, FL 33912 No data
CHANGE OF MAILING ADDRESS 2010-03-17 13650 FIDDLESTICKS BLVD., 200, FORT MYERS, FL 33912 No data
REGISTERED AGENT ADDRESS CHANGED 2009-05-01 6791 MOSSY GLEN DRIVE, FORT MYERS, FL 33908 No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-06-03
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-03-21
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7799147308 2020-04-30 0455 PPP 13650 Fiddlesticks Blvd Suite 200, Fort Myers, FL, 33912
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62500
Loan Approval Amount (current) 62500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33912-0001
Project Congressional District FL-19
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 63072.92
Forgiveness Paid Date 2021-04-08
7088278508 2021-03-05 0455 PPS 13650 Fiddlesticks Blvd Ste 200, Fort Myers, FL, 33912-0312
Loan Status Date 2021-10-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59925.2
Loan Approval Amount (current) 59925.2
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33912-0312
Project Congressional District FL-19
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60236.48
Forgiveness Paid Date 2021-09-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 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