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NORTHERN ORAL AND MAXILLOFACIAL SURGERY SERVICES, P.C.

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Company Details

Name: NORTHERN ORAL AND MAXILLOFACIAL SURGERY SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 11 Jan 1994 (32 years ago)
Date of dissolution: 18 Aug 2017
Entity Number: 1786327
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 104 PADDOCK STREET, WATERTOWN, NY, United States, 13601
Principal Address: 104 PADDOCK ST, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 104 PADDOCK STREET, WATERTOWN, NY, United States, 13601

Agent

Name Role
REGISTERED AGENT RESIGNED Agent

Chief Executive Officer

Name Role Address
ERHARD A BEUTTENMULLER Chief Executive Officer 104 PADDOCK ST, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1811059892

Authorized Person:

Name:
DR. LAWRENCE WAY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0106X - Oral and Maxillofacial Pathology Dentist
Is Primary:
Yes

Contacts:

Fax:
3157823223

Form 5500 Series

Employer Identification Number (EIN):
161454165
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
13
Sponsors Telephone Number:

History

Start date End date Type Value
2006-04-12 2010-02-02 Address 104 PODDOCK ST, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
1996-02-22 2006-04-12 Address 104 PADDCK ST, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
1996-02-22 1998-01-28 Address 104 PADDOCK ST, WATERTOWN, NY, 13601, USA (Type of address: Principal Executive Office)
1994-01-11 2009-09-04 Address 104 PADDOCK STREET, WATERTOWN, NY, 00000, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
170818000503 2017-08-18 CERTIFICATE OF DISSOLUTION 2017-08-18
140224002248 2014-02-24 BIENNIAL STATEMENT 2014-01-01
120127002274 2012-01-27 BIENNIAL STATEMENT 2012-01-01
100202002139 2010-02-02 BIENNIAL STATEMENT 2010-01-01
090904000119 2009-09-04 CERTIFICATE OF RESIGNATION OF REGISTERED AGENT 2009-10-04

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State