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ELMWOOD DENTAL GROUP - FAMILY, P.C.

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Company Details

Name: ELMWOOD DENTAL GROUP - FAMILY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Dec 2011 (14 years ago)
Entity Number: 4181444
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1950 CLINTON AVENUE SOUTH, ROCHESTER, NY, United States, 14618
Principal Address: 6 CRESSIER CT, FAIRPORT, NY, United States, 14450

Shares Details

Shares issued 5000

Share Par Value 0.001

Type PAR VALUE

Chief Executive Officer

Name Role Address
JAMES R LAMAR Chief Executive Officer 7938 OAK BROOKE CIR, PITTSFORD, NY, United States, 14538

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1950 CLINTON AVENUE SOUTH, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1861748055

Authorized Person:

Name:
MS. SANDRA G. NASKY
Role:
INSURANCE COORDINATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5854619365

History

Start date End date Type Value
2011-12-28 2023-06-12 Shares Share type: PAR VALUE, Number of shares: 5000, Par value: 0.001

Filings

Filing Number Date Filed Type Effective Date
140116002253 2014-01-16 BIENNIAL STATEMENT 2013-12-01
111228000411 2011-12-28 CERTIFICATE OF INCORPORATION 2011-12-28

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State