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AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A. - Florida Company Profile

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Company Details

Entity Name: AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Feb 2016 (10 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P16000012223
FEI/EIN Number 81-1366778
Mail Address: 629 Davis Drive, Morrisville, NC, 27560, US
Address: 9140 S. FEDERAL HIGHWAY (U.S. 1), PORT ST. LUCIE, FL, 34952, US
ZIP code: 34952
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FENTON DANIEL MDMD President 9140 S. FEDERAL HIGHWAY (U.S. 1), PORT ST. LUCIE, FL, 34952
Vitiello Jon Treasurer 9140 S. FEDERAL HIGHWAY (U.S. 1), PORT ST. LUCIE, FL, 34952
Gaines Brett Asst 9140 S. FEDERAL HIGHWAY (U.S. 1), PORT ST. LUCIE, FL, 34952
- Agent -

National Provider Identifier

NPI Number:
1295194579

Authorized Person:

Name:
DANIEL FENTON
Role:
DMD/PRACTICE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000071272 AFFORDABLE DENTURES & IMPLANTS - PORT ST. LUCIE ACTIVE 2020-06-23 2025-12-31 - 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC, 27560

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REINSTATEMENT 2019-10-24 - -
CHANGE OF MAILING ADDRESS 2019-10-24 9140 S. FEDERAL HIGHWAY (U.S. 1), PORT ST. LUCIE, FL 34952 -
REGISTERED AGENT NAME CHANGED 2019-10-24 NRAI SERVICES, INC. -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -

Documents

Name Date
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-03-30
REINSTATEMENT 2019-10-24
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-25
Domestic Profit 2016-02-05

Paycheck Protection Program

Jobs Reported:
20
Initial Approval Amount:
$204,845
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$204,845
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$207,376.1
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $204,845

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Date of last update: 02 Aug 2025

Sources: Florida Department of State