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ERIC T. BAUM, DMD, P.C.

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Company Details

Name: ERIC T. BAUM, DMD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Dec 2019 (6 years ago)
Entity Number: 5673964
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 207 HALLOCK RD., STONY BROOK, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 207 HALLOCK RD., STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1356083273
Certification Date:
2024-12-03

Authorized Person:

Name:
DR. ERIC T BAUM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
861573079
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
191218000446 2019-12-18 CERTIFICATE OF INCORPORATION 2019-12-18

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State