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UNIVERSAL SMILES DENTISTRY PA - Florida Company Profile

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Company Details

Entity Name: UNIVERSAL SMILES DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Aug 2012 (13 years ago)
Document Number: P12000070134
FEI/EIN Number 40-6781561
Address: 1025 S Volusia Ave, Orange City, FL, 32763, US
Mail Address: 1025 S Volusia Ave, Orange City, FL, 32763, US
ZIP code: 32763
City: Orange City
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SIRIVOLU SURENDRA G President 1025 S Volusia Ave, Orange City, FL, 32763
SIRIVOLU SURENDRA G Agent 1025 S Volusia Ave, Orange City, FL, 32763

National Provider Identifier

NPI Number:
1578999462

Authorized Person:

Name:
DR. SURENDRA G SIRIVOLU
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
460781561
Plan Year:
2023
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -
CHANGE OF MAILING ADDRESS 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -
REGISTERED AGENT NAME CHANGED 2023-01-10 SIRIVOLU, SURENDRA GOPAL -
REGISTERED AGENT ADDRESS CHANGED 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-14

USAspending Awards / Financial Assistance

Date:
2020-05-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00
Date:
2020-05-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$167,500
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$167,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$168,712.89
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $167,500

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Date of last update: 02 Aug 2025

Sources: Florida Department of State