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NAPLES MODERN DENTISTRY, PA - Florida Company Profile

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Company Details

Entity Name: NAPLES MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Jan 2019 (7 years ago)
Document Number: P19000008620
FEI/EIN Number 83-3678982
Address: 7430 IMMOKALEE RD., NAPLES, FL, 34119, US
Mail Address: 17000 RED HILL AVE., IRVINE, CA, 92614, US
ZIP code: 34119
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Hussain Faryal President 17000 RED HILL AVE., IRVINE, CA, 92614
Gonzalez Vigon Monica Secretary 17000 RED HILL AVE., IRVINE, CA, 92614
Pham Minh B Chief Financial Officer 17000 RED HILL AVE., IRVINE, CA, 92614
Gonzalez Vigon Monica Director 17000 RED HILL AVE., IRVINE, CA, 92614
Pham Minh B Director 17000 RED HILL AVE., IRVINE, CA, 92614
Hussain Faryal Director 17000 RED HILL AVE., IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1215495577
Certification Date:
2022-08-25

Authorized Person:

Name:
DR. MINH B PHAM
Role:
OWNER/DDS
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
G19000086199 NAPLES MODERN DENTISTRY ACTIVE 2019-08-14 2029-12-31 - 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-12-30 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 -
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-20 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 -
CHANGE OF MAILING ADDRESS 2022-05-20 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 -
REGISTERED AGENT NAME CHANGED 2022-05-20 COGENCY GLOBAL INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-24
Domestic Profit 2019-01-30

USAspending Awards / Financial Assistance

Date:
2020-06-01
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:
47827.00
Date:
2020-06-01
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:
47827.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$47,822
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,827
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$48,412.88
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $47,827

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Date of last update: 01 Aug 2025

Sources: Florida Department of State