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PEDERSEN DENTISTRY, PLLC

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Company Details

Name: PEDERSEN DENTISTRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Sep 2021 (4 years ago)
Entity Number: 6281676
ZIP code: 14450
County: Monroe
Place of Formation: New York
Address: 18 ALAMEDA DRIVE, FAIRPORT, NY, United States, 14450

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 18 ALAMEDA DRIVE, FAIRPORT, NY, United States, 14450

National Provider Identifier

NPI Number:
1679231591
Certification Date:
2021-12-08

Authorized Person:

Name:
DR. TODD RICHARD PEDERSEN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
872668162
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2021-09-15 2022-07-19 Address 18 ALAMEDA DRIVE, FAIRPORT, NY, 14450, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220719001375 2022-03-04 CERTIFICATE OF PUBLICATION 2022-03-04
210915002509 2021-09-15 ARTICLES OF ORGANIZATION 2021-09-15

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State