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  5. SUMTER DENTAL CENTER, P.A.

SUMTER DENTAL CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: SUMTER DENTAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Feb 2009 (17 years ago)
Document Number: P09000012221
FEI/EIN Number 264220810
Address: 410 D EAST BELT AVENUE, BUSHNELL, FL, 33513
Mail Address: P.O. BOX 295, BUSHNELL, FL, 33513
ZIP code: 33513
City: Bushnell
County: Sumter
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NOVAK JOSEPH B President 77 CR 542 W, BUSHNELL, FL, 33513
NOVAK JOSEPH B Vice President 77 CR 542 W, BUSHNELL, FL, 33513
NOVAK JOSEPH B Secretary 77 CR 542 W, BUSHNELL, FL, 33513
NOVAK JOSEPH B Treasurer 77 CR 542 W, BUSHNELL, FL, 33513
NOVAK JOSEPH B Agent 77 CR 542 W, BUSHNELL, FL, 33513

National Provider Identifier

NPI Number:
1306397450
Link:
View on NPI website

Authorized Person:

Name:
TEARSA M SMITH
Role:
OFFICE MANAGER
Phone:
3525690100

Taxonomy:

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

Contacts:

Phone:
+1 352-569-4962

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000101041 SUMTER VALUE DENTAL ACTIVE 2016-09-14 2026-12-31 - SUMTER DENTAL CENTER, P.A., P.O. BOX 295, BUSHNELL, FL, 33513

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2010-04-18 77 CR 542 W, BUSHNELL, FL 33513 -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-02-14
ANNUAL REPORT 2020-02-22
ANNUAL REPORT 2019-03-16
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-12

USAspending Awards / Financial Assistance

Date:
2021-02-18
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:
89100.00
Total Face Value Of Loan:
89100.00
Date:
2020-05-06
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:
89100.00
Total Face Value Of Loan:
89100.00
Date:
2020-05-06
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:
89100.00
Total Face Value Of Loan:
89100.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$89,100
Date Approved:
2020-05-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$89,100
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$90,056.91
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $89,100
Jobs Reported:
11
Initial Approval Amount:
$89,100
Date Approved:
2021-02-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$89,100
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$89,876.27
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $89,098
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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