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MICHAEL B. KUSHNER, D.D.S., P.C.

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Company Details

Name: MICHAEL B. KUSHNER, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Dec 1996 (29 years ago)
Entity Number: 2092893
ZIP code: 10302
County: Richmond
Place of Formation: New York
Principal Address: 1340 FOREST AVENUE, STATEN ISLAND, NY, United States, 10302
Address: 1340 FOREST AVE, STATEN ISLAND, NY, United States, 10302

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MICHAEL B KUSHNER, DDS Chief Executive Officer 1340 FOREST AVENUE, STATEN ISLAND, NY, United States, 10302

DOS Process Agent

Name Role Address
MICHAEL B. KUSHNER, D.D.S., P.C. DOS Process Agent 1340 FOREST AVE, STATEN ISLAND, NY, United States, 10302

Agent

Name Role Address
MICHAEL B. KUSHNER Agent C/O FOREST AVENUE DENTAL, 1351 FOREST AVE., STATEN ISLAND, NY, 10302

National Provider Identifier

NPI Number:
1255599908

Authorized Person:

Name:
DR. MICHAEL B KUSHNER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-05-23 2025-05-23 Address 8 HOWLAND TERRACE, MORRISTOWN, NJ, 07960, USA (Type of address: Chief Executive Officer)
2025-05-23 2025-05-23 Address 1340 FOREST AVENUE, STATEN ISLAND, NY, 10302, USA (Type of address: Chief Executive Officer)
2024-10-03 2025-05-23 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2024-10-03 2025-05-23 Address 1340 FOREST AVENUE, STATEN ISLAND, NY, 10302, USA (Type of address: Chief Executive Officer)
2024-10-03 2024-10-03 Address 1340 FOREST AVENUE, STATEN ISLAND, NY, 10302, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250523002033 2025-05-23 BIENNIAL STATEMENT 2025-05-23
241003002348 2024-10-03 BIENNIAL STATEMENT 2024-10-03
201201060009 2020-12-01 BIENNIAL STATEMENT 2020-12-01
161201007799 2016-12-01 BIENNIAL STATEMENT 2016-12-01
141202006212 2014-12-02 BIENNIAL STATEMENT 2014-12-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$40,930
Date Approved:
2021-02-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,930
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$41,388.19
Servicing Lender:
Itria Ventures LLC
Use of Proceeds:
Payroll: $40,925
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$40,900
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$41,353.82
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $40,900

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State