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LAKESHORE PEDIATRIC DENTISTRY, PLLC

Company Details

Name: LAKESHORE PEDIATRIC DENTISTRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jun 2019 (6 years ago)
Entity Number: 5579235
ZIP code: 12972
County: Clinton
Place of Formation: New York
Address: 2993 MAIN STREET, SUITE 2, PERU, NY, United States, 12972

DOS Process Agent

Name Role Address
LAKESHORE PEDIATRIC DENTISTRY, PLLC DOS Process Agent 2993 MAIN STREET, SUITE 2, PERU, NY, United States, 12972

National Provider Identifier

NPI Number:
1114586625

Authorized Person:

Name:
COLLEEN MARIE LACOMBE-SENECAL
Role:
PEDIATRIC DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
833581030
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2021-06-16 2023-06-28 Address 2993 MAIN STREET, SUITE 2, PERU, NY, 12972, USA (Type of address: Service of Process)
2019-06-28 2021-06-16 Address 104 JABEZ ALLEN ROAD, PERU, NY, 12972, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230628004210 2023-06-28 BIENNIAL STATEMENT 2023-06-01
210616060314 2021-06-16 BIENNIAL STATEMENT 2021-06-01
190905000232 2019-09-05 CERTIFICATE OF PUBLICATION 2019-09-05
190628000133 2019-06-28 ARTICLES OF ORGANIZATION 2019-06-28

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 23 Mar 2025

Sources: New York Secretary of State