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  5. KA DENTAL GROUP, PA

KA DENTAL GROUP, PA

Company Details

Entity Name: KA DENTAL GROUP, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Jan 2013 (12 years ago)
Document Number: P13000006256
FEI/EIN Number 46-1810273
Mail Address: 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL 33415
Address: 9810 ALTERNATE A1A, SUITE 106, PALM BEACH GARDENS, FL 33410
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164860862 2013-06-05 2013-06-05 9810 ALT A1A, STE 106, PALM BEACH GARDENS, FL, 334104932, US 9810 ALT A1A, SUITE 106, PALM BEACH GARDENS, FL, 334104932, US

Contacts
Phone +1 973-767-3283
Phone +1 347-545-1354

Authorized person
Name ADITI PATEL
Role DDS
Phone 3475451354

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 19875
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KA DENTAL GROUP PA 401(K) PLAN 2020 464468129 2022-01-24 KA DENTAL GROUP, PA 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1112 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411
KA DENTAL GROUP PA 401(K) PLAN 2019 464468129 2021-02-19 KA DENTAL GROUP, PA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1112 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411
KA DENTAL GROUP PA 401(K) PLAN 2018 464468129 2019-10-17 KA DENTAL GROUP, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1112 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411
KA DENTAL GROUP PA 401(K) PLAN 2017 464468129 2018-10-04 KA DENTAL GROUP, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1112 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing DR. KRUNAL PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing DR. KRUNAL PATEL
Valid signature Filed with authorized/valid electronic signature
KA DENTAL GROUP PA 401(K) PLAN 2016 464468129 2018-02-23 KA DENTAL GROUP, PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1112 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2018-02-23
Name of individual signing DR. KRUNAL PATEL
Valid signature Filed with authorized/valid electronic signature
KA DENTAL GROUP PA 401(K) PLAN 2015 464468129 2016-09-28 KA DENTAL GROUP, PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5617951404
Plan sponsor’s address 1236 ROYAL PALM BEACH BOULEVARD, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing KRUNAL PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL, KRUNAL Agent 9810 ALTERNATE A1A, SUITE 106, PALM BEACH GARDENS, FL 33410

President

Name Role Address
PATEL, KRUNAL C President 9810 ALTERNATE A1A, SUITE 106 PALM BEACH GARDENS, FL 33410

Vice President

Name Role Address
PATEL, ADITI Vice President 9810 ALTERNATE A1A, SUITE 106 PALM BEACH GARDENS, FL 33410

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000063174 FLAWLESS FACIAL ESTHETIC SPA ACTIVE 2024-05-15 2029-12-31 No data 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL, 33415
G24000023495 PALM BEACH BRACES AND PEDIATRICS ACTIVE 2024-02-12 2029-12-31 No data 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-10-21 9810 ALTERNATE A1A, SUITE 106, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT NAME CHANGED 2016-01-27 PATEL, KRUNAL No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-27 9810 ALTERNATE A1A, SUITE 106, PALM BEACH GARDENS, FL 33410 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-05

Related by officers

PATEL, KRUNAL

J GANESH, LLC IVPATEL INC KA DENTAL GROUP JUPITER, PA JAY BRAHMANIMAA LLC THE VILLAGES 2017 INC TANDON ENTERPRISE, LLC KABIR DENTAL LAB, LLC VIHAAN JKP LLC KRUSHI 1, LLC KRUSHI 26, LLC

PATEL, KRUNAL C

KAYPEE INTERNATIONAL LLC KA DENTAL GROUP RPB, PA KA DENTAL GROUP JUPITER, PA KVV BASKETBALL LLC

PATEL, ADITI

KA DENTAL GROUP RPB, PA NIRAMAY INC. KA DENTAL GROUP WPB, PA VAANI REAL ESTATE LLC VAANI PBG REAL ESTATE LLC KA DENTAL GROUP LANTANA, PA FLAWLESS WPB LLC

Related by address

1962 S. MILITARY TRAIL, WEST PALM BEACH, FL 33415

KA DENTAL GROUP RPB, PA KADENTAL GROUP BB, PA

Date of last update: 23 Jan 2025

Sources: Florida Department of State

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