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PEDIATRIC DENTISTRY AND WEST SIDE ORTHODONTICS, LLC

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Company Details

Name: PEDIATRIC DENTISTRY AND WEST SIDE ORTHODONTICS, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Apr 2002 (23 years ago)
Entity Number: 2760698
ZIP code: 10025
County: New York
Place of Formation: New York
Address: 327 CENTRAL PARK WEST, STE 1C, NEW YORK, NY, United States, 10025

DOS Process Agent

Name Role Address
PEDIATRIC DENTISTRY AND WEST SIDE ORTHODONTICS, LLC DOS Process Agent 327 CENTRAL PARK WEST, STE 1C, NEW YORK, NY, United States, 10025

National Provider Identifier

NPI Number:
1497589071
Certification Date:
2024-08-27

Authorized Person:

Name:
JENNY GARCIA-ROCHA
Role:
SR CREDENTIALING TEAM LEAD
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
743047353
Plan Year:
2023
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
41
Sponsors Telephone Number:

History

Start date End date Type Value
2023-10-20 2024-08-27 Address 327 CENTRAL PARK WEST, STE 1C, NEW YORK, NY, 10025, USA (Type of address: Service of Process)
2012-04-16 2023-10-20 Address 327 CENTRAL PARK WEST, STE 1C, NEW YORK, NY, 10025, USA (Type of address: Service of Process)
2004-04-09 2012-04-16 Address 327 CENTRAL PARK WEST #1C, NEW YORK, NY, 10025, USA (Type of address: Service of Process)
2002-04-30 2004-04-09 Address 255 CABRINI BLVD. NO. 6J, NEW YORK, NY, 10040, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240827004170 2024-08-27 BIENNIAL STATEMENT 2024-08-27
231020002692 2023-10-20 BIENNIAL STATEMENT 2022-04-01
190115060618 2019-01-15 BIENNIAL STATEMENT 2018-04-01
140408007464 2014-04-08 BIENNIAL STATEMENT 2014-04-01
120416002296 2012-04-16 BIENNIAL STATEMENT 2012-04-01

USAspending Awards / Financial Assistance

Date:
2021-02-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
383700.00
Total Face Value Of Loan:
383700.00
Date:
2020-05-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
500000.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
267300
Current Approval Amount:
267300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
270515.02
Date Approved:
2021-02-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
383700
Current Approval Amount:
383700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
387387.78

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State