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Pristine Smile Dental, PLLC

Company Details

Entity Name: Pristine Smile Dental, PLLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 23 Dec 2021
Business ALEI: 2408458
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 599 Main Street, Manchester, CT, 06040, United States
Mailing address: 599 Main Street, Manchester, CT, United States, 06040
ZIP code: 06040
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: drillajay1@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRISTINE SMILE DENTAL 401(K) PLAN 2023 874124071 2024-08-13 PRISTINE SMILE DENTAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 8606471565
Plan sponsor’s address 599 MAIN STREET, SUITE 4, MANCHESTER, CT, 06040
PRISTINE SMILE DENTAL 401(K) PLAN 2022 874124071 2023-10-06 PRISTINE SMILE DENTAL, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 8606471565
Plan sponsor’s address 599 MAIN STREET, SUITE 4, MANCHESTER, CT, 06040

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Jason L. Hernandez Agent 599 Main Street, Manchester, CT, 06040, United States 599 Main Street, Manchester, CT, 06040, United States +1 860-990-1792 drillajay1@aol.com 34 McDivitt Dr, Manchester, CT, 06042-2240, United States

Officer

Name Role Business address Phone E-Mail Residence address
Jason L. Hernandez Officer 599 Main Street, Manchester, CT, 06040, United States +1 860-990-1792 drillajay1@aol.com 34 McDivitt Dr, Manchester, CT, 06042-2240, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012310194 2024-02-15 No data Annual Report Annual Report No data
BF-0011142671 2023-03-15 No data Annual Report Annual Report No data
BF-0010327008 2022-03-14 No data Annual Report Annual Report 2022
BF-0010179909 2021-12-23 No data Business Formation Certificate of Organization No data

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website