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WADING RIVER PEDIATRIC DENTISTRY P.C.

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Company Details

Name: WADING RIVER PEDIATRIC DENTISTRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jun 2002 (23 years ago)
Entity Number: 2779299
ZIP code: 11792
County: Nassau
Place of Formation: New York
Address: 6336 Rt25a, Wading River, NY, United States, 11792

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
WADING RIVER PEDIATRIC DENTISTRY DOS Process Agent 6336 Rt25a, Wading River, NY, United States, 11792

Chief Executive Officer

Name Role Address
JEFFREY P. CAMPISI, DDS Chief Executive Officer 6336 RT 25A, WADING RIVER, NY, United States, 11792

National Provider Identifier

NPI Number:
1750915377
Certification Date:
2020-02-24

Authorized Person:

Name:
JEFFREY CAMPISI
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
010721996
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2002-06-17 2024-08-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2002-06-17 2024-08-26 Address 1474 MIDDLE NECK ROAD, PORT WASHINGTON, NY, 11050, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240826000007 2024-08-26 BIENNIAL STATEMENT 2024-08-26
091106000305 2009-11-06 CERTIFICATE OF AMENDMENT 2009-11-06
020617000189 2002-06-17 CERTIFICATE OF INCORPORATION 2002-06-17

USAspending Awards / Financial Assistance

Date:
2021-02-01
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:
93060.00
Total Face Value Of Loan:
93060.00
Date:
2020-05-02
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:
141245.00
Total Face Value Of Loan:
141245.00

Trademarks Section

Serial Number:
77957508
Status:
REGISTERED AND RENEWED
Mark Type:
SERVICE MARK
Application Filing Date:
2010-03-12
Mark Drawing Type:
Illustration: Drawing or design without any word(s)/letter(s)/number(s)

Goods And Services

For:
Dentistry
First Use:
2002-10-26
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
141245
Current Approval Amount:
141245
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
142617.67
Date Approved:
2021-01-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93060
Current Approval Amount:
93060
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
93751.59

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State