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CORAM SELDEN DENTAL GROUP PLLC

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Company Details

Name: CORAM SELDEN DENTAL GROUP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Dec 2019 (6 years ago)
Entity Number: 5665034
ZIP code: 11784
County: Suffolk
Place of Formation: New York
Address: 280K MIDDLE COUNTRY ROAD, SELDEN, NY, United States, 11784

Contact Details

Phone +1 631-732-9000

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 280K MIDDLE COUNTRY ROAD, SELDEN, NY, United States, 11784

National Provider Identifier

NPI Number:
1760188403
Certification Date:
2023-02-03

Authorized Person:

Name:
DR. GEORGE KANE
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
6317367982

Form 5500 Series

Employer Identification Number (EIN):
843938244
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200317000750 2020-03-17 CERTIFICATE OF PUBLICATION 2020-03-17
191203000164 2019-12-03 ARTICLES OF ORGANIZATION 2019-12-03

USAspending Awards / Financial Assistance

Date:
2020-04-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State