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INDIGO DENTAL, INC.

Company Details

Entity Name: INDIGO DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 20 Nov 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 18 Nov 2024 (3 months ago)
Document Number: P14000094502
FEI/EIN Number 47-2384188
Address: 139 EXECUTIVE CIR STE 101, DAYTONA BEACH, FL 32114
Mail Address: 139 EXECUTIVE CIR STE 101, DAYTONA BEACH, FL 32114
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699861336 2006-10-04 2024-07-24 139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL, 321141198, US 139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL, 321141198, US

Contacts

Phone +1 386-253-3629
Fax 3862533620

Authorized person

Name DR. DAVID ROBERT LLOYD
Role PRESIDENT
Phone 3862533629

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN0013454
State FL
Is Primary Yes
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No

Agent

Name Role
PALMETTO CHARTER SERVICES, INC. Agent

Director

Name Role Address
LLOYD, DAVID R, DDS Director 139 EXECUTIVE CIR STE 101, DAYTONA BEACH, FL 32114

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000091109 INDIGO DENTAL OF DAYTONA BEACH ACTIVE 2024-07-31 2029-12-31 No data 139 EXECUTIVE CIRCLE, STE 101, DAYTONA BEACH, FL, 32114

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-11-18 No data No data
REGISTERED AGENT NAME CHANGED 2024-11-18 PALMETTO CHARTER SERVICES,INC No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2024-05-20 ONE DAYTONA BLVD, SUITE 600, DAYTONA BEACH, FL 32114 No data

Documents

Name Date
ANNUAL REPORT 2025-02-17
REINSTATEMENT 2024-11-18
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3958687110 2020-04-12 0491 PPP 139 Executive Circle 101, Daytona Beach, FL, 32114
Loan Status Date 2021-08-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 63500
Loan Approval Amount (current) 57000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Daytona Beach, VOLUSIA, FL, 32114-0001
Project Congressional District FL-06
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 57699.83
Forgiveness Paid Date 2021-07-22
4130378406 2021-02-06 0491 PPS 139 Executive Cir Ste 101, Daytona Beach, FL, 32114-7102
Loan Status Date 2022-03-23
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59154
Loan Approval Amount (current) 59154
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Daytona Beach, VOLUSIA, FL, 32114-7102
Project Congressional District FL-06
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 59505.64
Forgiveness Paid Date 2021-09-21

Date of last update: 20 Feb 2025

Sources: Florida Department of State