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WILLSBORO DENTAL, P.C.

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Company Details

Name: WILLSBORO DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Oct 2004 (21 years ago)
Entity Number: 3117477
ZIP code: 12996
County: Essex
Place of Formation: New York
Address: PO BOX 310, WILLSBORO, NY, United States, 12996
Principal Address: 3673 ESSEX RD, WILLSBORO, NY, United States, 12996

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
WILLSBORO DENTAL, P.C. DOS Process Agent PO BOX 310, WILLSBORO, NY, United States, 12996

Chief Executive Officer

Name Role Address
DAVID G BONFANTE DDS Chief Executive Officer 3673 ESSEX ROAD, WILLSBORO, NY, United States, 12996

National Provider Identifier

NPI Number:
1457668758

Authorized Person:

Name:
DR. DAVID BONFANTE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2010-11-02 2020-10-19 Address PO BOX 310, WILLSBORO, NY, 12996, USA (Type of address: Service of Process)
2006-10-10 2018-12-10 Address 643 POINT RD, WILLSBORO, NY, 12996, USA (Type of address: Chief Executive Officer)
2006-10-10 2010-11-02 Address PO BOX 301, WILLSBORO, NY, 12996, USA (Type of address: Service of Process)
2004-10-25 2006-10-10 Address 5 LAKESHORE ROAD PO BOX 310, WILLSBORO, NY, 12996, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201019060193 2020-10-19 BIENNIAL STATEMENT 2020-10-01
181210006971 2018-12-10 BIENNIAL STATEMENT 2018-10-01
161024006238 2016-10-24 BIENNIAL STATEMENT 2016-10-01
141020006053 2014-10-20 BIENNIAL STATEMENT 2014-10-01
121023006196 2012-10-23 BIENNIAL STATEMENT 2012-10-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$14,000
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$14,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$14,093.72
Servicing Lender:
Champlain National Bank
Use of Proceeds:
Payroll: $13,996
Utilities: $1
Jobs Reported:
2
Initial Approval Amount:
$14,000
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$14,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$14,118.61
Servicing Lender:
Champlain National Bank
Use of Proceeds:
Payroll: $14,000

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State