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INTEGRATED AESTHETIC DENTISTRY, PLLC

Company Details

Name: INTEGRATED AESTHETIC DENTISTRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Dec 2009 (16 years ago)
Entity Number: 3885404
ZIP code: 10012
County: New York
Place of Formation: New York
Address: 131 MAC DOUGAL ST, NEW YORK, NY, United States, 10012

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 131 MAC DOUGAL ST, NEW YORK, NY, United States, 10012

National Provider Identifier

NPI Number:
1508301516

Authorized Person:

Name:
CAROLINE BARSOUM
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
271971539
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2012-01-09 2014-02-21 Address 500 OLD COUNTRY RD, STE 308, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
2009-12-04 2012-01-09 Address 1103 STEWART AVENUE, SUITE 200, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140221002296 2014-02-21 BIENNIAL STATEMENT 2013-12-01
120109002273 2012-01-09 BIENNIAL STATEMENT 2011-12-01
100315000868 2010-03-15 CERTIFICATE OF PUBLICATION 2010-03-15
100312000095 2010-03-12 CERTIFICATE OF CHANGE 2010-03-12
091204000125 2009-12-04 ARTICLES OF ORGANIZATION 2009-12-04

USAspending Awards / Financial Assistance

Date:
2021-04-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
75642.00
Total Face Value Of Loan:
75642.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
186792.00
Total Face Value Of Loan:
186792.00

Paycheck Protection Program

Date Approved:
2021-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
75642
Current Approval Amount:
75642
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
76082.66
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
186792
Current Approval Amount:
186792
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
189192.07

Date of last update: 27 Mar 2025

Sources: New York Secretary of State