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DENTISTS OF RIVERVIEW, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS OF RIVERVIEW, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Aug 2018 (7 years ago)
Document Number: P18000066418
FEI/EIN Number 83-1530206
Mail Address: 17000 RED HILL AVE, IRVINE, CA, 92614
Address: 13123 S US HWY 301, RIVERVIEW, FL, 33578
ZIP code: 33578
City: Riverview
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Pham Minh B President ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Button Nicholas R Secretary ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Button Nicholas R Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Ghazal Carolyn B Director 17000 Red Hill Ave., Irvine, CA, 92614

National Provider Identifier

NPI Number:
1376015180
Certification Date:
2024-08-21

Authorized Person:

Name:
DR. MINH B PHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
3039520892

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000015925 DENTISTS OF RIVERVIEW ACTIVE 2019-01-30 2029-12-31 - 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-21
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-30
Domestic Profit 2018-08-01

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
41616.00
Total Face Value Of Loan:
41616.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
41616.00
Total Face Value Of Loan:
41616.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$41,616
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$41,616
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,125.8
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $41,616

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Date of last update: 03 Aug 2025

Sources: Florida Department of State