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SAMANTHA IFILL, D.D.S., PLLC

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Company Details

Name: SAMANTHA IFILL, D.D.S., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Mar 2004 (21 years ago)
Entity Number: 3435024
ZIP code: 11238
County: Kings
Place of Formation: New York
Address: 511 CLINTON AVE, BROOKLYN, NY, United States, 11238

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 511 CLINTON AVE, BROOKLYN, NY, United States, 11238

National Provider Identifier

NPI Number:
1922794452
Certification Date:
2023-04-17

Authorized Person:

Name:
DR. SAMANTHA IFILL
Role:
DENTIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3477050795

Form 5500 Series

Employer Identification Number (EIN):
200924377
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2010-04-02 2014-08-04 Address 511 CLINTON AVENUE, BROOKLYN, NY, 11238, USA (Type of address: Service of Process)
2004-03-25 2010-04-02 Address 213 EASTERN PARKWAY, BROOKLYN, NY, 11238, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140804002125 2014-08-04 BIENNIAL STATEMENT 2014-03-01
120507002361 2012-05-07 BIENNIAL STATEMENT 2012-03-01
100402003594 2010-04-02 BIENNIAL STATEMENT 2010-03-01
080307002221 2008-03-07 BIENNIAL STATEMENT 2008-03-01
061109000164 2006-11-09 CERTIFICATE OF PUBLICATION 2006-11-09

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$122,530
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$122,530
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$123,819.97
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $122,530

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State