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SUSAN M. MINCHIN, D.D.S., P.C.

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Company Details

Name: SUSAN M. MINCHIN, D.D.S., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Feb 2015 (11 years ago)
Entity Number: 4704369
ZIP code: 14871
County: Chemung
Place of Formation: New York
Address: 1435 Pennsylvania Ave, Pine City NY 1487, PINE CITY, NY, NY, United States, 14871
Principal Address: 2833 COUNTY LINE DR, BIG FLATS, NY, United States, 14814

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1435 Pennsylvania Ave, Pine City NY 1487, PINE CITY, NY, NY, United States, 14871

Chief Executive Officer

Name Role Address
SUSAN M MINCHIN Chief Executive Officer 2833 COUNTY LINE DR, BIG FLATS, NY, United States, 14814

National Provider Identifier

NPI Number:
1346630233

Authorized Person:

Name:
SUSAN MINCHIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
6077330830

Form 5500 Series

Employer Identification Number (EIN):
472774474
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
221012002103 2022-10-12 BIENNIAL STATEMENT 2021-02-01
150203000679 2015-02-03 CERTIFICATE OF INCORPORATION 2015-02-03

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State