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  5. CAMPBELL DENTAL ASSOCIATES P.A.

CAMPBELL DENTAL ASSOCIATES P.A. - Florida Company Profile

Company Details

Entity Name: CAMPBELL DENTAL ASSOCIATES P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CAMPBELL DENTAL ASSOCIATES P.A. 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Nov 1997 (27 years ago)
Document Number: P97000096068
FEI/EIN Number 650822624

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025, US
Mail Address: 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025, US
ZIP code: 33025
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619644994 2021-08-25 2021-08-25 9937 MIRAMAR PKWY, MIRAMAR, FL, 330252397, US 9937 MIRAMAR PKWY, MIRAMAR, FL, 330252397, US

Contacts
Phone +1 954-260-9626
Fax 9544361072

Authorized person
Name DR. BETH ANNE CAMPBELL
Role DENTIST
Phone 9542609626

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2023 650822624 2024-09-16 CAMPBELL DENTAL ASSOCIATES P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing ORVILLE HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2022 650822624 2024-09-16 CAMPBELL DENTAL ASSOCIATES P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing ORVILLE HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2021 650822624 2022-06-14 CAMPBELL DENTAL ASSOCIATES P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing ORVILLE HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2020 650822624 2021-10-11 CAMPBELL DENTAL ASSOCIATES P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2019 650822624 2020-06-29 CAMPBELL DENTAL ASSOCIATES P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2018 650822624 2019-06-26 CAMPBELL DENTAL ASSOCIATES P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2017 650822624 2018-10-11 CAMPBELL DENTAL ASSOCIATES P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2016 650822624 2017-09-25 CAMPBELL DENTAL ASSOCIATES P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2015 650822624 2016-05-25 CAMPBELL DENTAL ASSOCIATES P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature
CAMPBELL DENTAL ASSOCIATES P.A. 401K PLAN 2014 650822624 2015-05-04 CAMPBELL DENTAL ASSOCIATES P.A. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9544360100
Plan sponsor’s address 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing ORVILLE M HEYWOOD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CAMPBELL BETH ANNE D Director 821 SW 56th Terrace, Plantation, FL, 33317
CAMPBELL BETH ANNE D Agent 9937 MIRAMAR PARKWAY, MIRAMAR, FL, 33025

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 1999-03-30 9937 MIRAMAR PARKWAY, MIRAMAR, FL 33025 -
CHANGE OF MAILING ADDRESS 1999-03-30 9937 MIRAMAR PARKWAY, MIRAMAR, FL 33025 -
REGISTERED AGENT NAME CHANGED 1999-03-30 CAMPBELL, BETH ANNE DMD -
REGISTERED AGENT ADDRESS CHANGED 1999-03-30 9937 MIRAMAR PARKWAY, MIRAMAR, FL 33025 -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-09-13
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-03-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1195498502 2021-02-18 0455 PPS 9937 Miramar Pkwy, Miramar, FL, 33025-2397
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53000
Loan Approval Amount (current) 53000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miramar, BROWARD, FL, 33025-2397
Project Congressional District FL-24
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53481.42
Forgiveness Paid Date 2022-01-26
6091647109 2020-04-14 0455 PPP 9937 Miramar Pkwy, MIRAMAR, FL, 33025-2397
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 53100
Loan Approval Amount (current) 53075.48
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIRAMAR, BROWARD, FL, 33025-2397
Project Congressional District FL-24
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53656.36
Forgiveness Paid Date 2021-06-04

Companies related by officers

No other companies in our directory share the same officers as CAMPBELL DENTAL ASSOCIATES P.A.

Companies related by address

No other companies in our directory share the same address as CAMPBELL DENTAL ASSOCIATES P.A.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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