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FAMILY DENTAL OF BRENTWOOD, P.C.

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Company Details

Name: FAMILY DENTAL OF BRENTWOOD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 May 2012 (13 years ago)
Entity Number: 4245101
ZIP code: 11719
County: Suffolk
Place of Formation: New York
Address: 769 COMMACK RD, BRENTWOOD, NY, United States, 11719

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LEWIS MILHIM Chief Executive Officer 769 COMMACK RD, BRENTWOOD, NY, United States, 11719

DOS Process Agent

Name Role Address
FAMILY DENTAL OF BRENTWOOD, P.C. DOS Process Agent 769 COMMACK RD, BRENTWOOD, NY, United States, 11719

National Provider Identifier

NPI Number:
1043571318

Authorized Person:

Name:
DR. LEWIS G MILHIM
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
6316477003

History

Start date End date Type Value
2014-06-19 2016-07-08 Address 22 ROGERS DR., COLD SPRING HARBOR, NY, 11724, USA (Type of address: Chief Executive Officer)
2014-06-19 2016-07-08 Address 22 ROGERS DR., COLD SPRING HARBOR, NY, 11724, USA (Type of address: Principal Executive Office)
2012-05-14 2016-07-08 Address 22 ROGERS DRIVE, COLD SPRING HARBOR, NY, 11724, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180604008335 2018-06-04 BIENNIAL STATEMENT 2018-05-01
160708006012 2016-07-08 BIENNIAL STATEMENT 2016-05-01
140619006336 2014-06-19 BIENNIAL STATEMENT 2014-05-01
120514000622 2012-05-14 CERTIFICATE OF INCORPORATION 2012-05-14

USAspending Awards / Financial Assistance

Date:
2021-02-04
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:
34695.00
Total Face Value Of Loan:
34695.00
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:
34000.00
Total Face Value Of Loan:
34000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$34,000
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$34,419.28
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $24,500
Utilities: $4,000
Rent: $5,500
Jobs Reported:
9
Initial Approval Amount:
$34,695
Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,695
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$34,963.23
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $34,693
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State