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Lake Cumberland Pediatric Dentistry, PLLC

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Company Details

Name: Lake Cumberland Pediatric Dentistry, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Jun 2018 (7 years ago)
Organization Date: 26 Jun 2018 (7 years ago)
Last Annual Report: 26 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1025082
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 100 HARDIN LN STE A, STE A, SOMERSET, KY 42503
Place of Formation: KENTUCKY

Member

Name Role
Angela Davidson Gabbard Member

Registered Agent

Name Role
ANGELA GABBARD Registered Agent

Organizer

Name Role
ANGELA GABBARD Organizer

National Provider Identifier

NPI Number:
1073099792
Certification Date:
2024-02-12

Authorized Person:

Name:
DR. ANGELA DAVIDSON GABBARD
Role:
PEDIATRIC DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
6064255804

Form 5500 Series

Employer Identification Number (EIN):
831020736
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
1
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-03-26
Annual Report 2023-03-23
Annual Report 2022-03-21
Principal Office Address Change 2021-02-22
Registered Agent name/address change 2021-02-22

USAspending Awards / Financial Assistance

Date:
2020-04-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
-527.97
Total Face Value Of Loan:
35283.70

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
35811.67
Current Approval Amount:
35283.7
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
35543.43

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Sources: Kentucky Secretary of State