| Entity Name: | DREW POPPER DMD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jun 2016 (9 years ago) |
| Document Number: | P16000051439 |
| FEI/EIN Number | 81-2907307 |
| Address: | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 |
| Mail Address: | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508305657 | 2017-02-21 | 2022-03-15 | 9970 CENTRAL PARK BLVD N STE 305, BOCA RATON, FL, 334282237, US | 9970 CENTRAL PARK BLVD N STE 305, BOCA RATON, FL, 334282237, US | |||||||||||||||||||||||||
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| Phone | +1 561-210-7788 |
| Fax | 5615102603 |
Authorized person
| Name | DREW POPPER |
| Role | OWNER |
| Phone | 5612107788 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN21755 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106205400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POPPER, DREW | Agent | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 |
| Name | Role | Address |
|---|---|---|
| POPPER, DREW | Director | 9970 Central Park Blvd. N., Suite 305 Boca Raton, FL 33428 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000018944 | JUNIOR SMILES | ACTIVE | 2017-02-21 | 2027-12-31 | No data | 9970 N. CENTRAL PARK BLVD, SUITE 305, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 9970 Central Park Blvd. N., Suite 305, Boca Raton, FL 33428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-02-21 |
| Domestic Profit | 2016-06-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7174907703 | 2020-05-01 | 0455 | PPP | 9930 CLINT MOORE RD SUITE D-102, BOCA RATON, FL, 33496 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
