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LONG ISLAND DENTAL SMILES, PLLC

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Company Details

Name: LONG ISLAND DENTAL SMILES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Mar 2018 (7 years ago)
Entity Number: 5306071
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 100 CLARK AVENUE, MASSAPEQUA, NY, United States, 11758

DOS Process Agent

Name Role Address
ATTN: SCOTT MATEER, D.D.S. AND KAREN LEAVY, D.D.S. DOS Process Agent 100 CLARK AVENUE, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1992201271

Authorized Person:

Name:
DR. SCOTT MATEER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fax:
5165419510

Form 5500 Series

Employer Identification Number (EIN):
824877987
Plan Year:
2020
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
180515000527 2018-05-15 CERTIFICATE OF PUBLICATION 2018-05-15
180319000221 2018-03-19 ARTICLES OF ORGANIZATION 2018-03-19

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State