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STATEN ISLAND MALL DENTAL, P.C.

Company Details

Name: STATEN ISLAND MALL DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Jan 2004 (21 years ago)
Entity Number: 3000208
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 2655 RICHMOND AVE, STE 2220, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-982-5500

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2655 RICHMOND AVE, STE 2220, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
ALEX MIKHAILOV Chief Executive Officer 2655 RICHMOND AVE, STE 2220, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1013139237

Authorized Person:

Name:
ROSS KRASNOV
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7189825554

History

Start date End date Type Value
2012-02-22 2014-06-20 Address 2655 RICHMOND AVE, STE 2220, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
2008-01-15 2012-02-22 Address 2655 RICHMOND AVE STE 2220, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2008-01-15 2012-02-22 Address 2655 RICHMOND AVE STE 2220, STATEN ISLAND, NY, 10314, USA (Type of address: Principal Executive Office)
2008-01-15 2012-02-22 Address 2655 RICHMOND AVE STE 2220, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
2006-02-14 2008-01-15 Address 146 W 57TH ST APT 66B, NEW YORK, NY, 10019, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
200122060256 2020-01-22 BIENNIAL STATEMENT 2020-01-01
160810006339 2016-08-10 BIENNIAL STATEMENT 2016-01-01
140620006458 2014-06-20 BIENNIAL STATEMENT 2014-01-01
120222002395 2012-02-22 BIENNIAL STATEMENT 2012-01-01
100202002914 2010-02-02 BIENNIAL STATEMENT 2010-01-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State