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  5. ADVANCED DENTAL GROUP INC.

ADVANCED DENTAL GROUP INC. - Florida Company Profile

Company Details

Entity Name: ADVANCED DENTAL GROUP INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ADVANCED DENTAL GROUP INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 13 Aug 1997 (28 years ago)
Date of dissolution: 16 Oct 1998 (27 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Oct 1998 (27 years ago)
Document Number: P97000070327
Address: 2534 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308
Mail Address: 2534 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194841593 2007-03-21 2020-08-22 5651 CORPORATE WAY, SUITE 1, WEST PALM BEACH, FL, 334072020, US 5651 CORPORATE WAY, SUITE 1, WEST PALM BEACH, FL, 334072020, US

Contacts
Phone +1 561-689-0872
Fax 5616839262

Authorized person
Name DR. THOMAS FRANCIS FRASER
Role OWNER
Phone 5616890872

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2023 020671891 2024-07-08 ADVANCED DENTAL GROUP 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing THOMAS F FRASER
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL GROUP CASH BALANCE PLAN 2023 020671891 2024-09-02 ADVANCED DENTAL GROUP 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, SUITE 1, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing THOMAS F. FRASER
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL GROUP CASH BALANCE PLAN 2022 020671891 2023-09-13 ADVANCED DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, SUITE 1, WEST PALM BEACH, FL, 33407
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2022 020671891 2023-05-22 ADVANCED DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing THOMAS F FRASER
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL GROUP CASH BALANCE PLAN 2021 020671891 2022-10-12 ADVANCED DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, SUITE 1, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing PATRICE BAHRUTH
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2021 020671891 2022-08-31 ADVANCED DENTAL GROUP 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2022-08-31
Name of individual signing THOMAS F FRASER
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2020 020671891 2021-04-19 ADVANCED DENTAL GROUP 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2019 020671891 2020-03-25 ADVANCED DENTAL GROUP 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2018 020671891 2019-03-12 ADVANCED DENTAL GROUP 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407
ADVANCED DENTAL GROUP RETIREMENT PLAN & TRUST 2017 020671891 2018-06-18 ADVANCED DENTAL GROUP 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-01-22
Business code 621210
Sponsor’s telephone number 5616890872
Plan sponsor’s address 5651 CORPORATE WAY, WEST PALM BEACH, FL, 33407

Key Officers & Management

Name Role Address
MONTALVO RALPH D Agent 3216 STORRINGTON DR., TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 - -

Documents

Name Date
Domestic Profit Articles 1997-08-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8735998503 2021-03-10 0455 PPS 5651 Corporate Way Ste 1, West Palm Beach, FL, 33407-2020
Loan Status Date 2022-01-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114135
Loan Approval Amount (current) 114135
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address West Palm Beach, PALM BEACH, FL, 33407-2020
Project Congressional District FL-20
Number of Employees 13
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 114973.03
Forgiveness Paid Date 2021-12-09
2222407306 2020-04-29 0455 PPP 5651 CORPORATE WAY SUITE 1, WEST PALM BEACH, FL, 33407
Loan Status Date 2021-05-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 118275
Loan Approval Amount (current) 118275
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WEST PALM BEACH, PALM BEACH, FL, 33407-0001
Project Congressional District FL-20
Number of Employees 12
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 119409.14
Forgiveness Paid Date 2021-04-21

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Companies related by address

2534 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

TERESA DAWAHARE LYON, D.M.D., P.A. BARKER ENTERPRISES, INC.

2534 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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