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ADVANCED IMPLANT AND ORAL SURGERY P.C.

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Company Details

Name: ADVANCED IMPLANT AND ORAL SURGERY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Aug 2011 (14 years ago)
Entity Number: 4126266
ZIP code: 11432
County: Suffolk
Place of Formation: New York
Address: 186 18 AVON RD, JAMAICA, NY, United States, 11432

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YURIY YUSUPOV Chief Executive Officer 186 18 AVON RD, JAMAICA, NY, United States, 11432

DOS Process Agent

Name Role Address
ADVANCED IMPLANT AND ORAL SURGERY P.C. DOS Process Agent 186 18 AVON RD, JAMAICA, NY, United States, 11432

National Provider Identifier

NPI Number:
1699055285

Authorized Person:

Name:
YURIY YUSUPOV
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-08-01 2023-09-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-08-01 2023-08-01 Address 186 18 AVON RD, JAMAICA, NY, 11432, USA (Type of address: Chief Executive Officer)
2023-08-01 2023-08-01 Address 17 WALT WHITMAN ROAD, HUNTINGTON STATION, NY, 11746, USA (Type of address: Chief Executive Officer)
2019-10-08 2023-08-01 Address 17 WALT WHITMAN ROAD, HUNTINGTON STATION, NY, 11746, USA (Type of address: Chief Executive Officer)
2011-08-03 2023-08-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230801009888 2023-08-01 BIENNIAL STATEMENT 2023-08-01
221025002713 2022-10-25 BIENNIAL STATEMENT 2021-08-01
200224060347 2020-02-24 BIENNIAL STATEMENT 2019-08-01
191008002030 2019-10-08 BIENNIAL STATEMENT 2019-08-01
110803000851 2011-08-03 CERTIFICATE OF INCORPORATION 2011-08-03

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State