FONDAK DENTAL OFFICES P.C.

DOS Process Agent

Name	Role	Address
C/O DAVIES LAW FIRM, P.C.	DOS Process Agent	120 E WASHINGTON, SUITE 714, SYRACUSE, NY, United States, 13202

Chief Executive Officer

Name	Role	Address
DR. JEFFREY FONDAK	Chief Executive Officer	33054 NYS ROUTE 26, CARTHAGE, NY, United States, 13619

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Business Information

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

History

Start date	End date	Type	Value
2005-10-06	2007-10-17	Address	33054 NYS RTE 26, CARTHAGE, NY, 13619, USA (Type of address: Chief Executive Officer)
2005-10-06	2007-10-17	Address	33054 NYS RTE 26, CARTHAGE, NY, 13619, USA (Type of address: Principal Executive Office)
2003-10-23	2007-10-17	Address	120 EAST WASHINGTON, SUITE 714, SYRACUSE, NY, 13202, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
131022002241	2013-10-22	BIENNIAL STATEMENT	2013-10-01
111026002220	2011-10-26	BIENNIAL STATEMENT	2011-10-01
100422003580	2010-04-22	BIENNIAL STATEMENT	2009-10-01
071017002688	2007-10-17	BIENNIAL STATEMENT	2007-10-01
051006002050	2005-10-06	BIENNIAL STATEMENT	2005-10-01