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JASON D. HENDERSON, DDS, P.C.

JASON D. HENDERSON, DDS, P.C.

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Company Details

Name:	JASON D. HENDERSON, DDS, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	16 Jan 2015 (11 years ago)
Entity Number:	4695549
ZIP code:	13104
County:	Onondaga
Place of Formation:	New York
Address:	8179 CAZENOVIA ROAD, MANLIUS, NY, United States, 13104

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	8179 CAZENOVIA ROAD, MANLIUS, NY, United States, 13104

National Provider Identifier

NPI Number:

1316096340

Link:

View on NPI website

Authorized Person:

Name:

JASON D. HENDERSON

Role:

OWNER/ DENTIST

Phone:

3156822466

Taxonomy:

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 315-685-2246

Fax:

3156823914

Form 5500 Series

Employer Identification Number (EIN):

472842273

Plan Year:

2024

Number Of Participants:

19

Sponsors Telephone Number:

3156822466

File:

Plan Year:

2023

Number Of Participants:

20

Sponsors Telephone Number:

3156822466

File:

Plan Year:

2022

Number Of Participants:

20

Sponsors Telephone Number:

3156822466

File:

Plan Year:

2021

Number Of Participants:

15

Sponsors Telephone Number:

3156822466

File:

Plan Year:

2020

Number Of Participants:

14

Sponsors Telephone Number:

3156822466

File:

Filings

Filing Number	Date Filed	Type	Effective Date
150116000496	2015-01-16	CERTIFICATE OF INCORPORATION	2015-01-16

Paycheck Protection Program

Jobs Reported:

16

Initial Approval Amount:

$189,732

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$189,732

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$190,963.96

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $189,732

Jobs Reported:

20

Initial Approval Amount:

$189,732

Date Approved:

2021-02-04

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$189,732

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$190,906.78

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $189,727
Utilities: $1

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State