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FANTUZZO ORAL, MAXILLOFACIAL & DENTAL IMPLANT SURGERY PLLC

Company Details

Name: FANTUZZO ORAL, MAXILLOFACIAL & DENTAL IMPLANT SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2014 (11 years ago)
Entity Number: 4635798
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 1815 CLINTON AVENUE SOUTH, SUITE 320, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
JOSEPH FANTUZZO DOS Process Agent 1815 CLINTON AVENUE SOUTH, SUITE 320, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1275925380

Authorized Person:

Name:
DR. JOSEPH J FANTUZZO
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
471583758
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
141208000597 2014-12-08 CERTIFICATE OF PUBLICATION 2014-12-08
140912000641 2014-09-12 ARTICLES OF ORGANIZATION 2014-09-12

USAspending Awards / Financial Assistance

Date:
2020-04-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 25 Mar 2025

Sources: New York Secretary of State