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AZ DENTAL PLLC

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Company Details

Entity Name: AZ DENTAL PLLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 11 Jul 2023
Business ALEI: 2819776
Annual report due: 31 Mar 2026
Business address: 64 GROVE ST, PUTNAM, CT, 06260, United States
Mailing address: 64 GROVE ST, PUTNAM, CT, United States, 06260
ZIP code: 06260
County: Windham
Place of Formation: CONNECTICUT
E-Mail: adi@jafainc.com

Industry & Business Activity

NAICS

621210 Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of Dental Medicine), D.D.S. (Doctor of Dental Surgery), or D.D.Sc. (Doctor of Dental Science) primarily engaged in the independent practice of general or specialized dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry. Learn more at the U.S. Census Bureau

Officer

Name Role Business address Phone E-Mail Residence address
YAZAN ABOU ZAKHEM Officer - - - 5 CONSTITUTION CT, HOPKINTON, MA, 01748, United States
MOAZ ZANBARAKJI Officer 64 GROVE ST, PUTNAM, CT, 06260, United States +1 571-216-8235 adi@jafainc.com 64 GROVE ST, PUTNAM, CT, 06260, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MOAZ ZANBARAKJI Agent 64 GROVE ST, PUTNAM, CT, 06260, United States 64 GROVE ST, PUTNAM, CT, 06260, United States +1 571-216-8235 adi@jafainc.com 64 GROVE ST, PUTNAM, CT, 06260, United States

National Provider Identifier

NPI Number:
1962217869
Certification Date:
2025-02-10

Authorized Person:

Name:
YAZAN ABOU ZAKHEM
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
932351965
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012829596 2025-03-01 - Annual Report Annual Report -
BF-0012458705 2024-02-06 - Annual Report Annual Report -
BF-0011880525 2023-07-11 - Business Formation Certificate of Organization -

Debts and Liens

Subsequent Filing No:
0005296854
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2025-05-27
Lapse Date:
2030-05-27
Subsequent Filing No:
0005191778
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2024-02-13
Lapse Date:
2029-02-13
Subsequent Filing No:
0005159584
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2023-08-15
Lapse Date:
2028-08-15
Subsequent Filing No:
0005159678
Filing Type:
ORIG FIN STMT
Status:
Active
Type:
OFS
Filing Date:
2023-08-14
Lapse Date:
2028-08-14

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Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information