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LAKE GROVE DENTISTRY, P.C.

LAKE GROVE DENTISTRY, P.C.

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Company Details

Name:	LAKE GROVE DENTISTRY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	12 Apr 2000 (25 years ago)
Entity Number:	2497967
ZIP code:	11755
County:	Suffolk
Place of Formation:	New York
Address:	1014 HAWKINS AVENUE, LAKE GROVE, NY, United States, 11755
Principal Address:	1014 HAWKINS AVE, LAKE GROVE, NY, United States, 11755

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
DR MEENA SHAH	Chief Executive Officer	1014 HAWKINS AVE, LAKE GROVE, NY, United States, 11755

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	1014 HAWKINS AVENUE, LAKE GROVE, NY, United States, 11755

National Provider Identifier

NPI Number:

1174075519

Link:

View on NPI website

Authorized Person:

Name:

MEENA SHAH

Role:

OWNER

Phone:

6314677878

Taxonomy:

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 631-467-7878

Form 5500 Series

Employer Identification Number (EIN):

113549646

Plan Year:

2024

Number Of Participants:

8

Sponsors Telephone Number:

6312521212

File:

Plan Year:

2023

Number Of Participants:

8

Sponsors Telephone Number:

6312521212

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

6312521212

File:

Plan Year:

2021

Number Of Participants:

8

Sponsors Telephone Number:

6312521212

File:

Plan Year:

2020

Number Of Participants:

8

Sponsors Telephone Number:

6312521212

File:

Filings

Filing Number	Date Filed	Type	Effective Date
090114002646	2009-01-14	BIENNIAL STATEMENT	2008-04-01
000412000334	2000-04-12	CERTIFICATE OF INCORPORATION	2000-04-12

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$51,465

Date Approved:

2020-04-11

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$51,465

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$51,828.05

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $51,465

Jobs Reported:

55

Initial Approval Amount:

$41,640

Date Approved:

2021-02-18

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$41,640

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$41,947.67

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $41,638
Utilities: $1

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State