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  5. SUFFOLK PEDIATRIC DENTISTRY, P.C.

SUFFOLK PEDIATRIC DENTISTRY, P.C.

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Company Details

Name: SUFFOLK PEDIATRIC DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Sep 1980 (45 years ago)
Entity Number: 652770
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776
Principal Address: 8 MEDICAL DRIVE, PORT JEFFERSON, NY, United States, 11776

Contact Details

Phone +1 631-750-9175

Phone +1 631-265-3266

Phone +1 631-654-4242

Phone +1 631-928-8585

Phone +1 516-928-8585

Phone +1 631-727-8585

Phone +1 631-929-7575

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PHILIP CONIGLIO, JR. Chief Executive Officer 6 OLD POST ROAD, ST. JAMES, NY, United States, 11780

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776

National Provider Identifier

NPI Number:
1598997900
Link:
View on NPI website

Authorized Person:

Name:
DR. ROBERT SERINO
Role:
PRESIDENT
Phone:
6319288585

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
124Q00000X - Dental Hygienist
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 631-928-8585
Fax:
6319288861

Form 5500 Series

Employer Identification Number (EIN):
112544103
Plan Year:
2023
Number Of Participants:
91
Sponsors Telephone Number:
6319288585
File:
View File
Plan Year:
2023
Number Of Participants:
91
Sponsors Telephone Number:
6319288585
File:
View File
Plan Year:
2023
Number Of Participants:
41
Sponsors Telephone Number:
6319288585
File:
View File
Plan Year:
2023
Number Of Participants:
77
Sponsors Telephone Number:
6319288585
File:
View File
Plan Year:
2022
Number Of Participants:
55
Sponsors Telephone Number:
6319288585
File:
View File

History

Start date End date Type Value
2023-07-26 2023-07-26 Address 6 OLD POST ROAD, ST. JAMES, NY, 11780, USA (Type of address: Chief Executive Officer)
2020-01-08 2023-07-26 Address 6 OLD POST ROAD, ST. JAMES, NY, 11780, USA (Type of address: Chief Executive Officer)
2007-10-31 2023-07-26 Address 8 MEDICAL DRIVE, PORT JEFFERSON STA, NY, 11776, USA (Type of address: Service of Process)
1990-05-25 2007-10-23 Name STEPHEN B. GOLD, D.D.S., AND ROBERT SERINO, D.D.S., P.C.
1980-09-25 2023-07-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230726003890 2023-07-26 BIENNIAL STATEMENT 2022-09-01
210202060424 2021-02-02 BIENNIAL STATEMENT 2020-09-01
200108060526 2020-01-08 BIENNIAL STATEMENT 2018-09-01
071031000136 2007-10-31 CERTIFICATE OF CHANGE 2007-10-31
071023000809 2007-10-23 CERTIFICATE OF AMENDMENT 2007-10-23

USAspending Awards / Financial Assistance

Date:
2021-02-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
590183.00
Total Face Value Of Loan:
590183.00
Date:
2020-05-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
533977.00
Total Face Value Of Loan:
533977.00

Paycheck Protection Program

Jobs Reported:
77
Initial Approval Amount:
$590,183
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$590,183
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$594,756.92
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $590,178
Utilities: $1
Jobs Reported:
65
Initial Approval Amount:
$533,977
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$533,977
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$538,026.33
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $533,977

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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