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BLANDING DENTAL ASSOCIATES, P.A. - Florida Company Profile

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Company Details

Entity Name: BLANDING DENTAL ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jul 2019 (6 years ago)
Document Number: P19000057107
FEI/EIN Number 84-2629008
Address: 767 BLANDING BLVD., SUITE 108, ORANGE PARK, FL, 32065, US
Mail Address: 767 BLANDING BLVD., SUITE 108, ORANGE PARK, FL, 32065, US
ZIP code: 32065
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAMBERLAIN JOHN A President 767 BLANDING BLVD., SUITE 108, ORANGE PARK, FL, 32065
CHAMBERLAIN JOHN A Secretary 767 BLANDING BLVD., SUITE 108, ORANGE PARK, FL, 32065
CHAMBERLAIN JOHN A Treasurer 767 BLANDING BLVD., SUITE 108, ORANGE PARK, FL, 32065
JOHN CHAMBERLAIN Agent 767 BLANDING BLVD, ORANGE PARK, FL, 32065

National Provider Identifier

NPI Number:
1013562941

Authorized Person:

Name:
DR. JOHN CHAMBERLAIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0700X - Prosthodontist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
842629008
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-29 JOHN, CHAMBERLAIN -
REGISTERED AGENT ADDRESS CHANGED 2024-02-29 767 BLANDING BLVD, SUITE 108, ORANGE PARK, FL 32065 -

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-20
Domestic Profit 2019-07-11

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
164635.00
Total Face Value Of Loan:
164635.00
Date:
2020-04-11
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:
164635.00
Total Face Value Of Loan:
164635.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$164,635
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$164,635
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$166,610.62
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Utilities: $164,635

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Date of last update: 03 Aug 2025

Sources: Florida Department of State