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STONY BROOK FAMILY DENTISTRY, P.C.

STONY BROOK FAMILY DENTISTRY, P.C.

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Company Details

Name:	STONY BROOK FAMILY DENTISTRY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	04 Apr 2001 (24 years ago)
Entity Number:	2624710
ZIP code:	11790
County:	Suffolk
Place of Formation:	New York
Address:	207 HALLOCK RD, STONY BROOK, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	207 HALLOCK RD, STONY BROOK, NY, United States, 11790

Chief Executive Officer

Name	Role	Address
ERIC BAUM	Chief Executive Officer	207 HALLOCK RD, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:

1770705766

Link:

View on NPI website

Authorized Person:

Name:

DR. ERIC BAUM

Role:

PRESIDENT

Phone:

6317517645

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

No

Selected Taxonomy:

1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist

Is Primary:

No

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 631-751-7645

Fax:

6317514170

Form 5500 Series

Employer Identification Number (EIN):

061614439

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

6317517645

File:

Plan Year:

2019

Number Of Participants:

10

Sponsors Telephone Number:

6317517645

File:

Plan Year:

2018

Number Of Participants:

10

Sponsors Telephone Number:

6317517645

File:

Plan Year:

2017

Number Of Participants:

10

Sponsors Telephone Number:

6317517645

File:

Plan Year:

2016

Number Of Participants:

9

Sponsors Telephone Number:

6317517645

File:

History

Start date	End date	Type	Value
2001-04-04	2003-04-14	Address	5 EILEEN COURT, COMMACK, NY, 11725, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
110420002667	2011-04-20	BIENNIAL STATEMENT	2011-04-01
090414003370	2009-04-14	BIENNIAL STATEMENT	2009-04-01
070502002414	2007-05-02	BIENNIAL STATEMENT	2007-04-01
050516002020	2005-05-16	BIENNIAL STATEMENT	2005-04-01
030414002363	2003-04-14	BIENNIAL STATEMENT	2003-04-01

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$58,793

Date Approved:

2020-04-29

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$58,793

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$59,736.91

Servicing Lender:

Fed � Kabbage

Use of Proceeds:

Payroll: $58,793

Jobs Reported:

2

Initial Approval Amount:

$55,466

Date Approved:

2021-03-31

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$55,466

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$55,873.26

Servicing Lender:

Customers Bank

Use of Proceeds:

Payroll: $55,464
Utilities: $1

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State