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NORTH COUNTRY PEDIATRIC DENTISTRY PLLC

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Company Details

Name: NORTH COUNTRY PEDIATRIC DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Sep 2013 (12 years ago)
Entity Number: 4453588
ZIP code: 12401
County: Westchester
Place of Formation: New York
Address: 169 WASHINGTON AVE, KINGSTON, NY, United States, 12401

DOS Process Agent

Name Role Address
NORTH COUNTRY PEDIATRIC DENTISTRY PLLC DOS Process Agent 169 WASHINGTON AVE, KINGSTON, NY, United States, 12401

National Provider Identifier

NPI Number:
1821723362
Certification Date:
2023-07-12

Authorized Person:

Name:
BARRY L JACOBSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223D0004X - Dentist Anesthesiologist
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
8453693183
Fax:
5184830101

History

Start date End date Type Value
2013-09-03 2020-07-27 Address 80 BUSINESS PARK DRIVE, SUITE 103, ARMONK, NY, 10504, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200727060025 2020-07-27 BIENNIAL STATEMENT 2019-09-01
190124000871 2019-01-24 CERTIFICATE OF PUBLICATION 2019-01-24
130903000170 2013-09-03 ARTICLES OF ORGANIZATION 2013-09-03

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State