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  5. ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA

ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA

Company Details

Entity Name: ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Apr 1998 (27 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 11 Sep 2008 (16 years ago)
Document Number: P98000031816
FEI/EIN Number 593500261
Address: 2251 NW 41 ST, STE 10, GAINESVILLE, FL, 32606, US
Mail Address: 2251 NW 41 ST, STE 10, GAINESVILLE, FL, 32606, US
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770616856 2007-03-14 2008-11-11 2251 NW 41ST ST, SUITE F, GAINESVILLE, FL, 326067498, US 2251 NW 41ST ST, SUITE F, GAINESVILLE, FL, 326067498, US

Contacts
Phone +1 352-371-4141
Fax 3523714169

Authorized person
Name DR. GARY I ALTSCHULER
Role PRESIDENT
Phone 3523714141

Taxonomy
Taxonomy Code 1223P0300X - Periodontist
License Number DN12257
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2023 593500261 2024-10-09 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2022 593500261 2023-10-10 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2021 593500261 2022-09-01 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2020 593500261 2021-10-06 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2019 593500261 2020-07-24 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2018 593500261 2019-07-16 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2017 593500261 2018-10-11 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2016 593500261 2017-07-19 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2015 593500261 2016-10-10 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature
ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 401(K) PROFIT SHARING PLAN 2014 593500261 2015-10-14 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3523714141
Plan sponsor’s address 2251 NW 41ST STREET, SUITE F, GAINESVILLE, FL, 32606

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing GARY ALTSCHULER DMD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALTSCHULER GARY I Agent 2251 NW 41 ST, STE 10, GAINESVILLE, FL, 32606

President

Name Role Address
ALTSCHULER GARY I President 2251 NW 41 ST, STE 10, GAINESVILLE, FL, 32606

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-06-30 2251 NW 41 ST, STE 10, GAINESVILLE, FL 32606 No data
CHANGE OF MAILING ADDRESS 2017-06-30 2251 NW 41 ST, STE 10, GAINESVILLE, FL 32606 No data
REGISTERED AGENT ADDRESS CHANGED 2017-06-30 2251 NW 41 ST, STE 10, GAINESVILLE, FL 32606 No data
NAME CHANGE AMENDMENT 2008-09-11 ALTSCHULER PERIODONTIC AND IMPLANT CENTER, PA No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-05-19
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-06-21
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-06-30
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-05-01

Related by officers

ALTSCHULER GARY I

AGA PROPERTIES, LLC INNOVATIVE ANESTHETICS, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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