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SUFFOLK DENTAL CARE P.C.

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Company Details

Name: SUFFOLK DENTAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jun 2019 (6 years ago)
Entity Number: 5577858
ZIP code: 10022
County: Ulster
Place of Formation: New York
Address: 1040 FIRST AVENUE, #393, NEW YORK, NY, United States, 10022

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1040 FIRST AVENUE, #393, NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:
1336749530
Certification Date:
2020-10-27

Authorized Person:

Name:
JOHANNY RODRIGUEZ
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
6317323401

Form 5500 Series

Employer Identification Number (EIN):
842763975
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
190813000310 2019-08-13 CERTIFICATE OF AMENDMENT 2019-08-13
190626000401 2019-06-26 CERTIFICATE OF INCORPORATION 2019-06-26

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State