0002061728-25-000001.txt : 20250407
0002061728-25-000001.hdr.sgml : 20250407
20250407120214
ACCESSION NUMBER: 0002061728-25-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20250407
DATE AS OF CHANGE: 20250407
EFFECTIVENESS DATE: 20250407
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Imagen Digital Dentistry Support Services, LLC
CENTRAL INDEX KEY: 0002061728
ORGANIZATION NAME:
EIN: 333651594
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-543076
FILM NUMBER: 25817066
BUSINESS ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE
STREET 2: SUITE 400
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
BUSINESS PHONE: (480) 590-3396
MAIL ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE
STREET 2: SUITE 400
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: IMAGEN DENTAL PARTNERS, LLC
CENTRAL INDEX KEY: 0001819319
ORGANIZATION NAME:
EIN: 845189859
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-543076-01
FILM NUMBER: 25817067
BUSINESS ADDRESS:
STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
BUSINESS PHONE: 480-590-5701
MAIL ADDRESS:
STREET 1: 16220 N. SCOTTSDALE ROAD, SUITE 300
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
D
1
primary_doc.xml
X0708
D
LIVE
0002061728
Imagen Digital Dentistry Support Services, LLC
16220 NORTH SCOTTSDALE
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
(480) 590-3396
DELAWARE
None
None
Limited Liability Company
true
2025
0001819319
IMAGEN DENTAL PARTNERS, LLC
16220 NORTH SCOTTSDALE
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
(480) 590-3396
DELAWARE
None
None
Limited Liability Company
true
Rezwan
Manji
16220 North Scottsdale Road
Suite 400
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Rezwan Manji is an executive officer of Imagen Dental Partners, LLC and Imagen Digital Dentistry Support Services, LLC.
Michael
Augins
16220 North Scottsdale Road
Suite 400
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Michael Augins is an executive officer of Imagen Dental Partners, LLC and Imagen Digital Dentistry Support Services, LLC.
Other Health Care
Decline to Disclose
- 06b
false
2025-03-28
false
true
true
0
954378
954378
0
false
1
0
0
0
false
Imagen Digital Dentistry Support Services, LLC
/s/ Rezwan Manji
Rezwan Manji
Chief Executive Officer
2025-04-07
IMAGEN DENTAL PARTNERS, LLC
/s/ Rezwan Manji
Rezwan Manji
Chief Executive Officer
2025-04-07