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PEDERSEN DENTAL SERVICES, P.C.

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Company Details

Name: PEDERSEN DENTAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jul 2019 (6 years ago)
Entity Number: 5595332
ZIP code: 14450
County: Monroe
Place of Formation: New York
Address: 18 ALAMEDA DRIVE, FAIRPORT, NY, United States, 14450
Principal Address: 18 Alameda Drive, Fairport, NY, United States, 14450

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 18 ALAMEDA DRIVE, FAIRPORT, NY, United States, 14450

Chief Executive Officer

Name Role Address
TODD PEDERSEN, DDS Chief Executive Officer 18 ALAMEDA DRIVE, FAIRPORT, NY, United States, 14450

National Provider Identifier

NPI Number:
1053943357
Certification Date:
2020-02-05

Authorized Person:

Name:
DR. TODD PEDERSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220225000847 2022-02-25 BIENNIAL STATEMENT 2022-02-25
190730000129 2019-07-30 CERTIFICATE OF INCORPORATION 2019-07-30

USAspending Awards / Financial Assistance

Date:
2021-02-08
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:
76990.00
Total Face Value Of Loan:
76990.00
Date:
2020-04-11
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:
60900.00
Total Face Value Of Loan:
60900.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$60,900
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$60,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$61,575.74
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $60,900
Jobs Reported:
5
Initial Approval Amount:
$76,990
Date Approved:
2021-02-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,990
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$77,873.8
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $76,989

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State