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SUPERSMILES DENTAL PLLC

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Company Details

Name: SUPERSMILES DENTAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Apr 2020 (5 years ago)
Entity Number: 5740008
ZIP code: 11501
County: Suffolk
Place of Formation: New York
Address: 101 FRONT ST., MINEOLA, NY, United States, 11501

DOS Process Agent

Name Role Address
SHANKER LAW GROUP DOS Process Agent 101 FRONT ST., MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1932099520
Certification Date:
2025-07-07

Authorized Person:

Name:
CHRISTINE BRANIGAN
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200420000331 2020-04-20 ARTICLES OF ORGANIZATION 2020-04-20

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State