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GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.

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Company Details

Name: GREATER OWENSBORO PEDIATRIC DENTISTRY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 26 Nov 2019 (6 years ago)
Organization Date: 26 Nov 2019 (6 years ago)
Last Annual Report: 05 Mar 2025 (6 months ago)
Organization Number: 1078803
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 3817 FAIRVIEW DRIVE, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
BLAKE ALLEN DICKENS Registered Agent

President

Name Role
Blake Allen Dickens President

Director

Name Role
Blake Allen Dickens Director

Incorporator

Name Role
BLAKE ALLEN DICKENS Incorporator

National Provider Identifier

NPI Number:
1013676758
Certification Date:
2023-02-14

Authorized Person:

Name:
BLAKE DICKENS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
843965604
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-05
Annual Report 2024-03-25
Annual Report 2023-03-22
Principal Office Address Change 2022-06-21
Registered Agent name/address change 2022-06-21

USAspending Awards / Financial Assistance

Date:
2020-05-08
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:
3712.95
Total Face Value Of Loan:
59812.95
Date:
2020-05-02
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:
56100.00
Total Face Value Of Loan:
59812.95

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$56,100
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,812.95
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,211.7
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $59,812.95

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Sources: Kentucky Secretary of State