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PLATTSBURGH ORAL SURGERY, P.C.

PLATTSBURGH ORAL SURGERY, P.C.

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Company Details

Name:	PLATTSBURGH ORAL SURGERY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	14 Aug 2013 (12 years ago)
Entity Number:	4445511
ZIP code:	12901
County:	Clinton
Place of Formation:	New York
Address:	8 AMPERSAND DRIVE, PLATTSBURGH, NY, United States, 12901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	8 AMPERSAND DRIVE, PLATTSBURGH, NY, United States, 12901

National Provider Identifier

NPI Number:

1790110021

Link:

View on NPI website

Authorized Person:

Name:

DR. BRADLEY WILLIAM RAY

Role:

ORAL SURGEON

Phone:

5185621020

Taxonomy:

Selected Taxonomy:

261QD0000X - Dental Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 518-562-1020

Fax:

5185621022

Form 5500 Series

Employer Identification Number (EIN):

463448377

Plan Year:

2024

Number Of Participants:

12

Sponsors Telephone Number:

5186453280

File:

Plan Year:

2023

Number Of Participants:

11

Sponsors Telephone Number:

5186453280

File:

Plan Year:

2022

Number Of Participants:

10

Sponsors Telephone Number:

5186453280

File:

Plan Year:

2021

Number Of Participants:

12

Sponsors Telephone Number:

5186453280

File:

Plan Year:

2020

Number Of Participants:

12

Sponsors Telephone Number:

5186453280

File:

Filings

Filing Number	Date Filed	Type	Effective Date
130814000716	2013-08-14	CERTIFICATE OF INCORPORATION	2013-08-14

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$69,236

Date Approved:

2021-02-17

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$69,236

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$69,661.03

Servicing Lender:

Glens Falls National Bank and Trust Company

Use of Proceeds:

Payroll: $69,234
Utilities: $1

Jobs Reported:

9

Initial Approval Amount:

$65,078

Date Approved:

2020-05-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$65,078

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$65,603.97

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $65,078

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State