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FIFTH AVENUE DENTAL P.C.

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Company Details

Name: FIFTH AVENUE DENTAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 1993 (32 years ago)
Entity Number: 1736136
ZIP code: 11220
County: Kings
Place of Formation: New York
Address: 659 56th street, apt 2, Brooklyn, NY, United States, 11220
Principal Address: 4607 5TH AVE, BROOKLYN, NY, United States, 11220

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
FIFTH AVENUE DENTAL DOS Process Agent 659 56th street, apt 2, Brooklyn, NY, United States, 11220

Chief Executive Officer

Name Role Address
SHUKAN SHAH Chief Executive Officer 83 EXECUTIVE DR, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1710999438

Authorized Person:

Name:
DR. VIRENDRA SHAH
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7182724688

History

Start date End date Type Value
2023-07-05 2023-07-05 Address 190 COZINE AVE, BROOKLYN, NY, 11207, 8867, USA (Type of address: Chief Executive Officer)
2023-07-05 2023-07-05 Address 83 EXECUTIVE DR, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2023-04-28 2023-07-05 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2023-03-21 2023-03-21 Address 83 EXECUTIVE DR, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2023-03-21 2023-04-28 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230705003694 2023-07-05 BIENNIAL STATEMENT 2023-06-01
230321000899 2023-03-21 BIENNIAL STATEMENT 2021-06-01
170601006015 2017-06-01 BIENNIAL STATEMENT 2017-06-01
150601006336 2015-06-01 BIENNIAL STATEMENT 2015-06-01
130607006582 2013-06-07 BIENNIAL STATEMENT 2013-06-01

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$38,600
Date Approved:
2020-05-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$39,175.78
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $38,600

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State