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LONG ISLAND PEDIATRIC DENTISTRY, PLLC

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Company Details

Name: LONG ISLAND PEDIATRIC DENTISTRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Mar 2020 (5 years ago)
Entity Number: 5720822
ZIP code: 75006
County: Nassau
Place of Formation: New York
Address: 2403 Lacy Lane, Carrollton, TX, United States, 75006

DOS Process Agent

Name Role Address
MB2 DENTAL SOLUTIONS LLC DOS Process Agent 2403 Lacy Lane, Carrollton, TX, United States, 75006

National Provider Identifier

NPI Number:
1326704081
Certification Date:
2024-07-02

Authorized Person:

Name:
PAOLA RAMOS
Role:
CREDENTIALING COORDINATOR
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2020-03-03 2024-08-13 Address 580 CHURCH AVENUE, WOODMERE, NY, 11598, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240813003804 2024-08-13 BIENNIAL STATEMENT 2024-08-13
200921000319 2020-09-21 CERTIFICATE OF PUBLICATION 2020-09-21
200303000681 2020-03-03 ARTICLES OF ORGANIZATION 2020-03-03

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State