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JEFFREY I. GOLDBERG, D.D.S., PLLC

JEFFREY I. GOLDBERG, D.D.S., PLLC

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Company Details

Name:	JEFFREY I. GOLDBERG, D.D.S., PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	31 Oct 2008 (17 years ago)
Entity Number:	3738178
ZIP code:	14221
County:	Erie
Place of Formation:	New York
Address:	149 TRISTAN LANE, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	149 TRISTAN LANE, WILLIAMSVILLE, NY, United States, 14221

National Provider Identifier

NPI Number:

1306313150

Link:

View on NPI website

Authorized Person:

Name:

DR. JEFFREY I GOLDBERG

Role:

OWNER

Phone:

7166362222

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 716-636-2222

Fax:

7166362252

Form 5500 Series

Employer Identification Number (EIN):

264112009

Plan Year:

2023

Number Of Participants:

12

Sponsors Telephone Number:

7166362222

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

7166362222

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

7166362222

File:

Plan Year:

2020

Number Of Participants:

9

Sponsors Telephone Number:

7166362222

File:

Plan Year:

2019

Number Of Participants:

9

Sponsors Telephone Number:

7166362222

File:

Filings

Filing Number	Date Filed	Type	Effective Date
201028060128	2020-10-28	BIENNIAL STATEMENT	2020-10-01
181003006144	2018-10-03	BIENNIAL STATEMENT	2018-10-01
161005006072	2016-10-05	BIENNIAL STATEMENT	2016-10-01
121023006143	2012-10-23	BIENNIAL STATEMENT	2012-10-01
101015002332	2010-10-15	BIENNIAL STATEMENT	2010-10-01

Paycheck Protection Program

Jobs Reported:

10

Initial Approval Amount:

$45,085

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$45,085

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$45,346.86

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $45,084

Jobs Reported:

8

Initial Approval Amount:

$40,963

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$40,963

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$41,280.6

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $40,963

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State