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PRIMARY TEETH PEDIATRIC DENTISTRY PLLC

Company Details

Name: PRIMARY TEETH PEDIATRIC DENTISTRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Oct 2019 (6 years ago)
Entity Number: 5640921
ZIP code: 12078
County: Fulton
Place of Formation: New York
Address: 199 SOUTH MAIN ST., GLOVERSVILLE, NY, United States, 12078

Contact Details

Phone +1 518-601-2220

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 199 SOUTH MAIN ST., GLOVERSVILLE, NY, United States, 12078

National Provider Identifier

NPI Number:
1114548617
Certification Date:
2020-05-06

Authorized Person:

Name:
DR. JAKE FRIED
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5186012221

Filings

Filing Number Date Filed Type Effective Date
200817000037 2020-08-17 CERTIFICATE OF PUBLICATION 2020-08-17
191018000474 2019-10-18 ARTICLES OF ORGANIZATION 2019-10-18

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
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