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EXCELDENT DENTAL OF ISLANDIA LLP

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Company Details

Name: EXCELDENT DENTAL OF ISLANDIA LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 20 Apr 2005 (20 years ago)
Date of dissolution: 27 Sep 2012
Entity Number: 3193473
ZIP code: 11596
County: Blank
Place of Formation: New York
Address: 486 WILLIS AVENUE, SUITE 1, WILLISTON PARK, NY, United States, 11596
Principal Address: ONE SUFFOLF SQUARE, SUITE 200, ISLANDIA, NY, United States, 11749

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 486 WILLIS AVENUE, SUITE 1, WILLISTON PARK, NY, United States, 11596

National Provider Identifier

NPI Number:
1497963912

Authorized Person:

Name:
DR. DENNIS BERG
Role:
DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
6313487794

Filings

Filing Number Date Filed Type Effective Date
120927000727 2012-09-27 NOTICE OF WITHDRAWAL 2012-09-27
100730002088 2010-07-30 FIVE YEAR STATEMENT 2010-04-01
071004000456 2007-10-04 CERTIFICATE OF AMENDMENT 2007-10-04
051216000557 2005-12-16 AFFIDAVIT OF PUBLICATION 2005-12-16
051216000562 2005-12-16 AFFIDAVIT OF PUBLICATION 2005-12-16

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State