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NIZAM JABBOUR, DDS, P.C.

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Company Details

Name: NIZAM JABBOUR, DDS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Feb 2023 (2 years ago)
Entity Number: 6738286
ZIP code: 12601
County: Dutchess
Place of Formation: New York
Address: 153 academy street, POUGHKEEPSIE, NY, United States, 12601

Contact Details

Phone +1 845-454-0560

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
nizam jabbour DOS Process Agent 153 academy street, POUGHKEEPSIE, NY, United States, 12601

National Provider Identifier

NPI Number:
1760185656
Certification Date:
2023-03-24

Authorized Person:

Name:
NIZAM JABBOUR
Role:
DDS
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
922908045
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
230222000143 2023-02-21 CERTIFICATE OF INCORPORATION 2023-02-21

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State