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  5. INNOVATIVE DENTAL & ORTHODONTICS, P.A.

INNOVATIVE DENTAL & ORTHODONTICS, P.A.

Company Details

Entity Name: INNOVATIVE DENTAL & ORTHODONTICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jul 2015 (10 years ago)
Document Number: P15000063170
FEI/EIN Number 47-4640912
Address: 1884 W CR 419, Oviedo, FL, 32765, US
Mail Address: 1884 W CR 419, Oviedo, FL, 32765, US
ZIP code: 32765
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881068559 2015-11-18 2015-12-13 1884 W. COUNTY RD 419, SUITE 1010, OVIEDO, FL, 32765, US 1884 W. COUNTY RD 419, SUITE 1010, OVIEDO, FL, 32765, US

Contacts
Phone +1 407-797-6940

Authorized person
Name DR. AMIT KAMAT
Role DENTIST
Phone 8135286955

Taxonomy
Taxonomy Code 1223P0700X - Prosthodontist
License Number DN18557
State FL
Is Primary Yes
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN18706
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INNOVATIVE DENTAL & ORTHODONTICS, P.A. CASH BALANCE PLAN 2023 474640912 2024-01-31 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2024-01-31
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS 401(K) PLAN 2023 474640912 2024-02-11 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2024-02-11
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS, P.A. CASH BALANCE PLAN 2022 474640912 2023-03-12 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2023-03-12
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS 401(K) PLAN 2022 474640912 2023-03-12 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2023-03-12
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS 401(K) PLAN 2021 474640912 2022-07-14 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS, P.A. CASH BALANCE PLAN 2021 474640912 2022-05-02 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2022-05-02
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS 401(K) PLAN 2020 474640912 2021-07-28 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature
INNOVATIVE DENTAL & ORTHODONTICS 401(K) PLAN 2019 474640912 2020-07-23 INNOVATIVE DENTAL & ORTHODONTICS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 4075424580
Plan sponsor’s address 1884 COUNTY RD 419, #1010, OVIEDO, FL, 32765

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing AMIT KAMAT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KAMAT AMIT Agent 1884 W CR 419, Oviedo, FL, 32765

President

Name Role Address
KAMAT AMIT President 1884 W CR 419, Oviedo, FL, 32765

Vice President

Name Role Address
KAMAT SEJAL Vice President 1884 W CR 419, Oviedo, FL, 32765

Secretary

Name Role Address
KAMAT AMIT Secretary 1884 W CR 419, Oviedo, FL, 32765

Treasurer

Name Role Address
KAMAT SEJAL Treasurer 1884 W CR 419, Oviedo, FL, 32765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000108811 INNOVATIVE ORTHODONTICS EXPIRED 2015-10-26 2020-12-31 No data 18032 BELLEZZA DRIVE, ORLANDO, FL, 32820
G15000108817 INNOVATIVE DENTAL & PROSTHODONTICS EXPIRED 2015-10-26 2020-12-31 No data 18032 BELLEZZA DRIVE, ORLANDO, FL, 32820

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-11 1884 W CR 419, 1010, Oviedo, FL 32765 No data
CHANGE OF MAILING ADDRESS 2016-04-11 1884 W CR 419, 1010, Oviedo, FL 32765 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-11 1884 W CR 419, 1010, Oviedo, FL 32765 No data

Documents

Name Date
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-08
ANNUAL REPORT 2022-01-08
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-04-11
Domestic Profit 2015-07-24

Related by officers

KAMAT AMIT

ORCHID REAL ESTATE HOLDING LLC NEW TAMPA LLC

Related by address

1884 W CR 419, Oviedo, FL, 32765, US

OVIEDO VILLAGE CONDOMINIUM ASSOCIATION, INC.

1884 W CR 419, Oviedo, FL, 32765, US

OVIEDO VILLAGE CONDOMINIUM ASSOCIATION, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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