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OTEGO FAMILY DENTAL, P.C.

Company Details

Name: OTEGO FAMILY DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 May 2010 (15 years ago)
Entity Number: 3949199
ZIP code: 13825
County: Otsego
Place of Formation: New York
Address: PO BOX 334, OTEGO, NY, United States, 13825
Principal Address: 374 MAIN ST, OTEGO, NY, United States, 13825

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KATHY T KNOX, DDS Chief Executive Officer 374 MAIN ST, PO BOX 334, OTEGO, NY, United States, 13825

DOS Process Agent

Name Role Address
ROBERT D KNOX DOS Process Agent PO BOX 334, OTEGO, NY, United States, 13825

National Provider Identifier

NPI Number:
1437466059

Authorized Person:

Name:
KATHY T KNOX
Role:
PRESIDENT/OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
6079882761

Form 5500 Series

Employer Identification Number (EIN):
272308647
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2012-05-08 2016-05-11 Address 374 MAIN STT, PO BOX 334, OTEGO, NY, 13825, USA (Type of address: Chief Executive Officer)
2012-05-08 2018-11-13 Address 374 MAIN ST, OTEGO, NY, 13825, USA (Type of address: Principal Executive Office)
2012-05-08 2018-11-13 Address PO BOX 334, OTEGO, NY, 13825, USA (Type of address: Service of Process)
2010-05-13 2012-05-08 Address P.O. BOX 626, COBLESKILL, NY, 12043, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200505060876 2020-05-05 BIENNIAL STATEMENT 2020-05-01
181113006262 2018-11-13 BIENNIAL STATEMENT 2018-05-01
160511006232 2016-05-11 BIENNIAL STATEMENT 2016-05-01
140501006146 2014-05-01 BIENNIAL STATEMENT 2014-05-01
120508006256 2012-05-08 BIENNIAL STATEMENT 2012-05-01

Date of last update: 27 Mar 2025

Sources: New York Secretary of State