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CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC

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Company Details

Name: CLIFTON PARK PERIODONTICS AND DENTAL IMPLANTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Mar 2021 (4 years ago)
Entity Number: 5967767
ZIP code: 12065
County: Saratoga
Place of Formation: New York
Address: 1536 CRESCENT ROAD, SUITE B8, CLIFTON PARK, NY, United States, 12065

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1536 CRESCENT ROAD, SUITE B8, CLIFTON PARK, NY, United States, 12065

National Provider Identifier

NPI Number:
1003486945
Certification Date:
2021-09-20

Authorized Person:

Name:
LINDA LAM
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
863015746
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:

History

Start date End date Type Value
2021-03-19 2021-08-31 Address 502 BILL ROBINSON WAY, NEWBURGH, NY, 12550, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210831002021 2021-08-31 CERTIFICATE OF CHANGE BY ENTITY 2021-08-31
210617000751 2021-06-17 CERTIFICATE OF PUBLICATION 2021-06-17
210319000277 2021-03-19 ARTICLES OF ORGANIZATION 2021-03-19

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State