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WILLIAMSVILLE FAMILY DENTISTRY, P.C.

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Company Details

Name: WILLIAMSVILLE FAMILY DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Oct 2005 (20 years ago)
Entity Number: 3270786
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

Contact Details

Phone +1 716-568-2273

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name Role Address
KEVIN G CLAUSER DDS Chief Executive Officer 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

National Provider Identifier

NPI Number:
1942479308

Authorized Person:

Name:
DR. KEVIN G CLAUSER
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7165682047

Form 5500 Series

Employer Identification Number (EIN):
203743064
Plan Year:
2015
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2008-01-10 2013-10-21 Address 1630 MAPLE RD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
2005-10-19 2008-01-10 Address 59 EVANS ST., WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171004006071 2017-10-04 BIENNIAL STATEMENT 2017-10-01
151005006175 2015-10-05 BIENNIAL STATEMENT 2015-10-01
131021006042 2013-10-21 BIENNIAL STATEMENT 2013-10-01
111019002536 2011-10-19 BIENNIAL STATEMENT 2011-10-01
091002002758 2009-10-02 BIENNIAL STATEMENT 2009-10-01

Paycheck Protection Program

Jobs Reported:
49
Initial Approval Amount:
$99,660
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$99,660
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$100,268.88
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $99,658
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$99,659
Date Approved:
2020-05-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$99,659
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$101,095.18
Servicing Lender:
Fed � Kabbage
Use of Proceeds:
Payroll: $99,659

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State