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SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.

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Company Details

Name: SOUTH SHORE LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Feb 1973 (52 years ago)
Entity Number: 252891
ZIP code: 11793
County: Nassau
Place of Formation: New York
Address: 3366 PARK AVENUE, WANTAGH, NY, United States, 11793

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOO KIM Chief Executive Officer 3366 PARK AVENUE, WANTAGH, NY, United States, 11793

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3366 PARK AVENUE, WANTAGH, NY, United States, 11793

National Provider Identifier

NPI Number:
1417755596
Certification Date:
2025-03-05

Authorized Person:

Name:
DR. JOO KIM
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
112286696
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:

History

Start date End date Type Value
2022-08-10 2023-10-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2009-02-05 2021-02-03 Address 3366 PARK AVENUE, WANTAGH, NY, 11793, USA (Type of address: Chief Executive Officer)
2007-06-08 2007-06-19 Name LONG ISLAND PERIODONTICS & IMPLANTOLOGY-SOUTH SHORE, P.C.
2003-04-07 2009-02-05 Address 3366 PARK AVE, WANTAGH, NY, 11793, USA (Type of address: Chief Executive Officer)
1995-07-17 2007-06-08 Name LONG ISLAND PERIODONTICS & IMPLANTOLOGY, P.C.

Filings

Filing Number Date Filed Type Effective Date
210203060547 2021-02-03 BIENNIAL STATEMENT 2021-02-01
190206060139 2019-02-06 BIENNIAL STATEMENT 2019-02-01
170202006178 2017-02-02 BIENNIAL STATEMENT 2017-02-01
150211006125 2015-02-11 BIENNIAL STATEMENT 2015-02-01
130206006796 2013-02-06 BIENNIAL STATEMENT 2013-02-01

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$207,382
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$207,382
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$209,968.51
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $207,382

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State