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WASHINGTON SQUARE DENTAL GROUP, P.C.

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Company Details

Name: WASHINGTON SQUARE DENTAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jul 2002 (23 years ago)
Entity Number: 2788118
ZIP code: 10011
County: New York
Place of Formation: New York
Principal Address: 2 FIFTH AVE SUITE #4, NEW YORK, NY, United States, 10011
Address: 2 FIFTH AVENUE SUITE #4, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
WASHINGTON SQUARE DENTAL GROUP, P.C. DOS Process Agent 2 FIFTH AVENUE SUITE #4, NEW YORK, NY, United States, 10011

Chief Executive Officer

Name Role Address
KORI DARLING Chief Executive Officer 2 FIFTH AVE SUITE #4, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1699829994

Authorized Person:

Name:
DR. MARK D HOROWITZ
Role:
OFFICER- PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
510415771
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:

History

Start date End date Type Value
2012-07-06 2020-07-07 Address 2 FIFTH AVE SUITE #4, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2004-09-10 2012-07-06 Address 2 FIFTH AVE, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2004-09-10 2012-07-06 Address 2 FIFTH AVE, NEW YORK, NY, 10011, USA (Type of address: Principal Executive Office)
2002-07-10 2021-07-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2002-07-10 2012-07-06 Address TWO FIFTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200707060172 2020-07-07 BIENNIAL STATEMENT 2020-07-01
180702006100 2018-07-02 BIENNIAL STATEMENT 2018-07-01
140701007040 2014-07-01 BIENNIAL STATEMENT 2014-07-01
120706006166 2012-07-06 BIENNIAL STATEMENT 2012-07-01
110428000799 2011-04-28 CERTIFICATE OF AMENDMENT 2011-04-28

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State