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CANANDAIGUA PEDIATRIC DENTISTRY P.C.

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Company Details

Name: CANANDAIGUA PEDIATRIC DENTISTRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jan 2007 (19 years ago)
Entity Number: 3469420
ZIP code: 14424
County: New York
Place of Formation: New York
Address: 325 WEST STREET, CANANDAIGUA, NY, United States, 14424
Principal Address: 325 WEST ST, 101, CANANDIAGUA, NY, United States, 14424

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARK WOHLFELD D.D.S. Chief Executive Officer 325 WEST ST, 101, CANANDIAGUA, NY, United States, 14424

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 325 WEST STREET, CANANDAIGUA, NY, United States, 14424

National Provider Identifier

NPI Number:
1427170844

Authorized Person:

Name:
DR. MARK E WOHLFELD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
5853944058

Form 5500 Series

Employer Identification Number (EIN):
208423905
Plan Year:
2016
Number Of Participants:
0
Sponsors DBA Name:
CANANDAIGUA PEDIATRIC DENTAL GROUP
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors DBA Name:
CANANDAIGUA PEDIATRIC DENTAL GROUP
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors DBA Name:
CANANDAIGUA PEDIATRIC DENTAL GROUP
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
5
Sponsors DBA Name:
CANANDAIGUA PEDIATRIC DENTAL GROUP
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors DBA Name:
CANANDAIGUA PEDIATRIC DENTAL GROUP
Sponsors Telephone Number:

History

Start date End date Type Value
2008-12-26 2011-01-19 Address 325 WEST ST, 101, CANANDIAGUA, NY, 14424, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
150106006348 2015-01-06 BIENNIAL STATEMENT 2015-01-01
130107006240 2013-01-07 BIENNIAL STATEMENT 2013-01-01
110119002657 2011-01-19 BIENNIAL STATEMENT 2011-01-01
081226002417 2008-12-26 BIENNIAL STATEMENT 2009-01-01
070130000179 2007-01-30 CERTIFICATE OF INCORPORATION 2007-01-30

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State