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GROUP DENTAL OF THE PALM BEACHES, INC.

Company Details

Entity Name: GROUP DENTAL OF THE PALM BEACHES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 1996 (29 years ago)
Document Number: P96000008175
FEI/EIN Number 650626008
Address: 2260 PALM BEACH LAKES BLVD, STE 201, WEST PALM BEACH, FL, 33409
Mail Address: 2260 PALM BEACH LAKES BLVD, STE 201, WEST PALM BEACH, FL, 33409
ZIP code: 33409
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033224399 2006-08-20 2020-08-22 2601 NORTH FLAGLER DRIVE, SUITE 101, WEST PALM BEACH, FL, 33407, US 2601 N FLAGLER DR STE 101, WEST PALM BEACH, FL, 334075542, US

Contacts

Phone +1 561-833-5474
Fax 5618330490

Authorized person

Name DR. JOHN P BROWN
Role VICE PRESIDENT
Phone 5618335474

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary No
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GROUP DENTAL PROFIT SHARING PLAN 2023 650626008 2024-08-27 GROUP DENTAL OF THE PALM BEACHES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKE BLVD., SUITE 201, WEST PALM BEACH, FL, 33409

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing DR. JOHN BROWN
Valid signature Filed with authorized/valid electronic signature
GROUP DENTAL OF THE PALM BEACHES PROFIT SHARING PLAN 2022 650626008 2023-06-08 GROUP DENTAL OF THE PALM BEACHES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKE BLVD., SUITE 2, WEST PALM BEACH, FL, 33409

Signature of

Role Plan administrator
Date 2023-06-08
Name of individual signing JOHN P BROWN
Valid signature Filed with authorized/valid electronic signature
GROUP DENTAL OF THE PALM BEACHES PROFIT SHARING PLAN 2021 650626008 2022-05-23 GROUP DENTAL OF THE PALM BEACHES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKE BLVD., SUITE 201, WEST PALM BEACH, FL, 33409

Signature of

Role Plan administrator
Date 2022-05-23
Name of individual signing JOHN P BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-23
Name of individual signing JOHN P BROWN
Valid signature Filed with authorized/valid electronic signature
GROUP DENTAL OF THE PALM BEACHES PROFIT SHARING PLAN 2020 650626008 2021-03-31 GROUP DENTAL OF THE PALM BEACHES INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKES BLVD., SUITE 201, WEST PLAM BEACH, FL, 33409
GROUP DENTAL OF THE PALM BEACHES PROFIT SHARING PLAN 2019 650626008 2020-03-19 GROUP DENTAL OF THE PALM BEACHES INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKES BLVD., SUITE 201, WEST PLAM BEACH, FL, 33409
GROUP DENTAL OF THE PALM BEACHES PROFIT SHARING PLAN 2018 650626008 2019-04-17 GROUP DENTAL OF THE PALM BEACHES INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 5616835525
Plan sponsor’s address 2260 PALM BEACH LAKES BLVD., SUITE 201, WEST PLAM BEACH, FL, 33409

Agent

Name Role Address
BROWN JOHN P Agent 2260 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL, 33409

President

Name Role Address
CORE ENRICO President 65 SE 5TH AVENUE APT O, DELRAY BEACH, FL, 33483

Secretary

Name Role Address
CORE ENRICO Secretary 65 SE 5TH AVENUE APT O, DELRAY BEACH, FL, 33483

Vice President

Name Role Address
BROWN JOHN P. Vice President 1845 PARKSIDE CIR. S., BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1998-11-09 GROUP DENTAL OF THE PALM BEACHES, INC. No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State