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KIDS DENTAL, P.C.

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Company Details

Name: KIDS DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Mar 2012 (13 years ago)
Entity Number: 4211919
ZIP code: 10312
County: Richmond
Place of Formation: New York
Address: 739 Wood, STATEN ISLAND, NY, United States, 10312
Principal Address: 739 Woodrow Road, Staten Island, NY, United States, 10312

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
LISA ALLI-LAZZARA Agent 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309

DOS Process Agent

Name Role Address
KIDS DENTAL DOS Process Agent 739 Wood, STATEN ISLAND, NY, United States, 10312

Chief Executive Officer

Name Role Address
DR. LISA LAZZARA Chief Executive Officer 739 WOOD, STATEN ISLAND, NY, United States, 10312

National Provider Identifier

NPI Number:
1376803924
Certification Date:
2022-06-20

Authorized Person:

Name:
DR. LISA ALLI-LAZZARA
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
7183565433

Form 5500 Series

Employer Identification Number (EIN):
454816743
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2024-03-01 2024-03-01 Address 4864 ARTHUR KILL RD, STATEN ISLAND, NY, 10309, USA (Type of address: Chief Executive Officer)
2024-03-01 2024-03-01 Address 739 WOOD, STATEN ISLAND, NY, 10312, USA (Type of address: Chief Executive Officer)
2014-02-25 2024-03-01 Address 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309, USA (Type of address: Registered Agent)
2014-02-25 2024-03-01 Address 4864 ARTHUR KILL ROAD, 4TH FLOOR, STATEN ISLAND, NY, 10309, USA (Type of address: Service of Process)
2012-03-05 2024-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240301044166 2024-03-01 BIENNIAL STATEMENT 2024-03-01
220104003519 2022-01-04 BIENNIAL STATEMENT 2022-01-04
140225000779 2014-02-25 CERTIFICATE OF CHANGE 2014-02-25
120305000694 2012-03-05 CERTIFICATE OF INCORPORATION 2012-03-05

USAspending Awards / Financial Assistance

Date:
2021-03-02
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:
174425.00
Total Face Value Of Loan:
174425.00
Date:
2020-04-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2021-03-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
174425
Current Approval Amount:
174425
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
176082.04

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State