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BROOKLYN SMILE DENTAL HEALTH SERVICES, PLLC

Company Details

Name: BROOKLYN SMILE DENTAL HEALTH SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Oct 2014 (11 years ago)
Entity Number: 4655795
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 9412 4TH AVENUE, BROOKLYN, NY, United States, 11209

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 9412 4TH AVENUE, BROOKLYN, NY, United States, 11209

National Provider Identifier

NPI Number:
1205229044

Authorized Person:

Name:
DR. GARY HERSKOVITS
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223X0008X - Oral and Maxillofacial Radiology Dentist
Is Primary:
No
Selected Taxonomy:
1223P0106X - Oral and Maxillofacial Pathology Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7187453205

Filings

Filing Number Date Filed Type Effective Date
141024000011 2014-10-24 ARTICLES OF ORGANIZATION 2014-10-24

Date of last update: 25 Mar 2025

Sources: New York Secretary of State