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JACOB A. AVNER D.D.S., P.C.

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Company Details

Name: JACOB A. AVNER D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Aug 2008 (17 years ago)
Entity Number: 3713333
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: GREAT SMILES OF NY, 97-25 64TH AVE / UNIT G-3, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JACOB A AVNER Chief Executive Officer 97-25 64TH AVE, UNIT G-3, REGO PARK, NY, United States, 11374

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent GREAT SMILES OF NY, 97-25 64TH AVE / UNIT G-3, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1114398807

Authorized Person:

Name:
DR. JACOB AVNER
Role:
DENTIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7182757307

History

Start date End date Type Value
2013-04-09 2014-08-21 Address 97-25 64TH AVE, UNIT G-3, REGO PARK, NY, 11376, USA (Type of address: Chief Executive Officer)
2010-09-08 2013-04-09 Address 168-07 73RD AVE, FRESH MEADOWS, NY, 11366, USA (Type of address: Chief Executive Officer)
2010-09-08 2013-04-09 Address 168-07 73RD AVE, FRESH MEADOWS, NY, 11366, USA (Type of address: Principal Executive Office)
2008-08-26 2013-04-09 Address 168-07 73RD AVE, FRESH MEADOWS, NY, 11366, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220518003096 2022-05-18 BIENNIAL STATEMENT 2020-08-01
170623006176 2017-06-23 BIENNIAL STATEMENT 2016-08-01
140821006306 2014-08-21 BIENNIAL STATEMENT 2014-08-01
130409002443 2013-04-09 BIENNIAL STATEMENT 2012-08-01
100908002896 2010-09-08 BIENNIAL STATEMENT 2010-08-01

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$40,001
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,001
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$40,725.4
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $40,001

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State