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DENTISTS OF PALM BEACH GARDENS, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS OF PALM BEACH GARDENS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Oct 2018 (7 years ago)
Document Number: P18000083611
FEI/EIN Number 83-2253738
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614, US
Address: 5380 DONALD ROSS ROAD, SUITE 100, PALM BEACH GARDENS, FL, 33418, US
ZIP code: 33418
City: Palm Beach Gardens
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Childers Carmen D President ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Childers Carmen D Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Tolmie Christopher K Secretary ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Tolmie Chirstopher K Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1275000879
Certification Date:
2022-06-15

Authorized Person:

Name:
DR. CARMEN CHILDERS
Role:
OWNER/GENERAL DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
3039520982
Fax:
5616934484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000047783 DENTISTS OF PALM BEACH GARDENS ACTIVE 2019-04-16 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 -
CHANGE OF PRINCIPAL ADDRESS 2022-03-23 5380 DONALD ROSS ROAD, SUITE 100, PALM BEACH GARDENS, FL 33418 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-30
Domestic Profit 2018-10-05

USAspending Awards / Financial Assistance

Date:
2020-06-02
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:
5.00
Total Face Value Of Loan:
23854.00
Date:
2020-04-30
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:
23849.00
Total Face Value Of Loan:
23854.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$23,849
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,854
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$24,146.21
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $23,854

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Date of last update: 01 Aug 2025

Sources: Florida Department of State