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FAIRPORT DENTAL, P.C.

Company Details

Name: FAIRPORT DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Mar 2012 (13 years ago)
Entity Number: 4220353
ZIP code: 14450
County: Monroe
Place of Formation: New York
Address: 302 CROSS KEYS OFFICE PARK, FAIRPORT, NY, United States, 14450

Shares Details

Shares issued 1000000

Share Par Value 0.01

Type PAR VALUE

Chief Executive Officer

Name Role Address
WARREN J WALDOW JR Chief Executive Officer 13575 58TH ST N, STE 339, CLEARWATER, FL, United States, 33760

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 302 CROSS KEYS OFFICE PARK, FAIRPORT, NY, United States, 14450

National Provider Identifier

NPI Number:
1508479684
Certification Date:
2020-08-27

Authorized Person:

Name:
JENNIFER ALTOBELLI
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140609002324 2014-06-09 BIENNIAL STATEMENT 2014-03-01
120322000261 2012-03-22 CERTIFICATE OF INCORPORATION 2012-03-22

USAspending Awards / Financial Assistance

Date:
2021-02-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
56587.00
Total Face Value Of Loan:
56587.00
Date:
2020-05-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
56926.00
Total Face Value Of Loan:
56926.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
56926
Current Approval Amount:
56926
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
57551.41
Date Approved:
2021-02-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
56587
Current Approval Amount:
56587
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
56934.27

Date of last update: 26 Mar 2025

Sources: New York Secretary of State