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ADIRONDACK ORAL AND MAXILLOFACIAL SURGERY, P.C.

ADIRONDACK ORAL AND MAXILLOFACIAL SURGERY, P.C.

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Company Details

Name:	ADIRONDACK ORAL AND MAXILLOFACIAL SURGERY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	27 May 1997 (28 years ago)
Entity Number:	2147225
ZIP code:	12205
County:	Albany
Place of Formation:	New York
Address:	5 PALISADES DRIVE, ALBANY, NY, United States, 12205

Shares Details

Shares issued 10000

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
ADIRONDACK ORAL AND MAXILLOFACIAL SURGERY, P.C.	DOS Process Agent	5 PALISADES DRIVE, ALBANY, NY, United States, 12205

Chief Executive Officer

Name	Role	Address
GURINDER S WADHWA DDS	Chief Executive Officer	5 PALISADES DRIVE, ALBANY, NY, United States, 12205

National Provider Identifier

NPI Number:

1831303569

Link:

View on NPI website

Authorized Person:

Name:

DR. TIMOTHY LYNCH

Role:

CEO

Phone:

5183480634

Taxonomy:

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

No

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

No

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

No

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

No

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

No

Contacts:

Phone:

+1 518-348-0634

Fax:

5184263221

Form 5500 Series

Employer Identification Number (EIN):

161534351

Plan Year:

2019

Number Of Participants:

67

Sponsors Telephone Number:

5183480634

File:

Plan Year:

2013

Number Of Participants:

57

Sponsors Telephone Number:

5183480634

File:

Plan Year:

2012

Number Of Participants:

62

Sponsors Telephone Number:

5183480634

File:

Plan Year:

2011

Number Of Participants:

52

Sponsors Telephone Number:

5183480634

File:

Plan Year:

2010

Number Of Participants:

51

Sponsors Telephone Number:

5183480634

File:

History

Start date	End date	Type	Value
2022-04-28	2023-10-20	Shares	Share type: NO PAR VALUE, Number of shares: 10000, Par value: 0
2009-03-25	2022-04-28	Shares	Share type: NO PAR VALUE, Number of shares: 10000, Par value: 0
2001-05-29	2013-05-06	Address	648 PLANK ROAD STE 201, ENTRANCE B, CLIFTON PARK, NY, 12065, USA (Type of address: Service of Process)
2001-05-29	2013-05-06	Address	648 PLANK ROAD STE 201, ENTRANCE B, CLIFTON PARK, NY, 12065, USA (Type of address: Principal Executive Office)
2001-05-29	2013-05-06	Address	648 PLANK ROAD STE 201, ENTRANCE B, CLIFTON PARK, NY, 12065, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
130506006742	2013-05-06	BIENNIAL STATEMENT	2013-05-01
090508002752	2009-05-08	BIENNIAL STATEMENT	2009-05-01
090325000158	2009-03-25	CERTIFICATE OF AMENDMENT	2009-03-25
070612002225	2007-06-12	BIENNIAL STATEMENT	2007-05-01
050715002693	2005-07-15	BIENNIAL STATEMENT	2005-05-01

Paycheck Protection Program

Jobs Reported:

58

Initial Approval Amount:

$712,860

Date Approved:

2020-04-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$712,860

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$717,572.8

Servicing Lender:

Chemung Canal Trust Company

Use of Proceeds:

Payroll: $712,860

Jobs Reported:

58

Initial Approval Amount:

$775,874.92

Date Approved:

2021-01-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$775,874.92

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Unanswered

Forgiveness Amount:

$782,836.24

Servicing Lender:

Chemung Canal Trust Company

Use of Proceeds:

Payroll: $775,869.92
Utilities: $1

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State