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THE JACOB DENTAL GROUP, INC.

Company Details

Entity Name: THE JACOB DENTAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 16 Dec 2013 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Mar 2024 (a year ago)
Document Number: P13000100005
FEI/EIN Number 46-4324579
Address: 17 OLD KINGS RD N SUITE H, PALM COAST, FL 32137
Mail Address: 17 OLD KINGS RD N SUITE H, PALM COAST, FL 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417300930 2016-07-20 2016-07-20 17 OLD KINGS RD N, SUITE H, PALM COAST, FL, 321378282, US 17 OLD KINGS RD N, SUITE H, PALM COAST, FL, 321378282, US

Contacts

Phone +1 386-445-6111

Authorized person

Name RONALD F JACOB
Role OWNER
Phone 3864456111

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
JACOB, RONALD F, D.M.D. Agent 17 OLD KINGS RD N SUITE H, PALM COAST, FL 32137

Director

Name Role Address
FERRER JACOB, RONALD, DMD Director 17 OLD KINGS RD N SUITE H, PALM COAST, FL 32137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000033634 NOVA DENTAL EXPIRED 2014-04-04 2019-12-31 No data 1569 N NOVA RD, HOLLY HILL, FL, 32117
G14000033633 MODERN DENTAL EXPIRED 2014-04-04 2019-12-31 No data 17 OLD KINGS ROAD #H, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-03-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2019-12-09 No data No data
REGISTERED AGENT NAME CHANGED 2019-12-09 JACOB, RONALD F, D.M.D. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000069583 TERMINATED 1000000772869 COLUMBIA 2018-02-12 2038-02-14 $ 630.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2025-01-31
REINSTATEMENT 2024-03-26
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-01-21
REINSTATEMENT 2019-12-09
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-02-12
ANNUAL REPORT 2015-01-28
ANNUAL REPORT 2014-02-05
Domestic Profit 2013-12-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7704908610 2021-03-24 0491 PPS 17 Old Kings Rd N Ste H, Palm Coast, FL, 32137-8283
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 95940
Loan Approval Amount (current) 95940
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72251
Servicing Lender Name Cache Valley Bank
Servicing Lender Address 101 N Main St, LOGAN, UT, 84321-4525
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Palm Coast, FLAGLER, FL, 32137-8283
Project Congressional District FL-06
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 72251
Originating Lender Name Cache Valley Bank
Originating Lender Address LOGAN, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 96211.83
Forgiveness Paid Date 2021-07-12
8919297209 2020-04-28 0491 PPP 17 OLD KINGS ROAD N, STE H, PALM COAST, FL, 32137-8283
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 102270
Loan Approval Amount (current) 102270
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72251
Servicing Lender Name Cache Valley Bank
Servicing Lender Address 101 N Main St, LOGAN, UT, 84321-4525
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PALM COAST, FLAGLER, FL, 32137-8283
Project Congressional District FL-06
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 72251
Originating Lender Name Cache Valley Bank
Originating Lender Address LOGAN, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 103349.52
Forgiveness Paid Date 2021-05-24

Date of last update: 21 Feb 2025

Sources: Florida Department of State