0002070386-25-000001.txt : 20250528
0002070386-25-000001.hdr.sgml : 20250528
20250528120140
ACCESSION NUMBER: 0002070386-25-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20250528
DATE AS OF CHANGE: 20250528
EFFECTIVENESS DATE: 20250528
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Imagen Celebrating Smiles Support Services, LLC
CENTRAL INDEX KEY: 0002070386
ORGANIZATION NAME:
EIN: 334200817
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-547360
FILM NUMBER: 25992815
BUSINESS ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE ROAD
STREET 2: SUITE 400
CITY: SCOTTSDALE
STATE: AZ
ZIP: 85254
BUSINESS PHONE: 4805903396
MAIL ADDRESS:
STREET 1: 16220 NORTH SCOTTSDALE ROAD
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: 021-547360-01
FILM NUMBER: 25992816
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
0002070386
Imagen Celebrating Smiles Support Services, LLC
16220 NORTH SCOTTSDALE ROAD
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
4805903396
DELAWARE
None
None
Limited Liability Company
true
2025
0001819319
IMAGEN DENTAL PARTNERS, LLC
16220 NORTH SCOTTSDALE ROAD
SUITE 400
SCOTTSDALE
AZ
ARIZONA
85254
4805903396
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 Celebrating Smiles Support Services, LLC and Imagen Dental Partners, LLC.
Michael
Augins
16220 North Scottsdale Road
Suite 400
Scottsdale
AZ
ARIZONA
85254
Executive Officer
Michael Augins is an executive officer of Imagen Celebrating Smiles Support Services, LLC and Imagen Dental Partners, LLC.
Other Health Care
Decline to Disclose
- 06b
false
2025-04-30
false
true
true
0
728500
728500
0
false
1
0
0
0
false
Imagen Celebrating Smiles Support Services, LLC
/s/ Rezwan Manji
Rezwan Manji
Chief Executive Officer
2025-05-28
IMAGEN DENTAL PARTNERS, LLC
/s/ Rezwan Manji
Rezwan Manji
Chief Executive Officer
2025-05-28