black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN P. DOMBEK

PRODUCER NON-RESIDENT

License Number:
PRN235809
Status:
First Licensure:
07/29/2014
Cancel Date:
None

Mailing:
WESTBOROUGH, MA 01581
Phone:
+1 (800) 898-3342
Fax:
+1 (508) 836-9910
Email:
jdombek@edic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
EASTERN DENTAL INSURANCE AGENCY INC
07/29/2014 AGN50515

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/20/2020 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/20/2020 PCF145893
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
10/27/2022 PCF396
CITIZENS INSURANCE COMPANY OF AMERICA
04/20/2020 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
04/20/2020 PCF197298
THE HANOVER INSURANCE COMPANY
04/20/2020 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/20/2020 PCF505
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
10/27/2022 PCF79
VERLAN FIRE INSURANCE COMPANY
04/20/2020 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2014 Active
HEALTH 07/29/2014 Active
LIFE 07/29/2014 Active
PROPERTY 07/29/2014 Active

Responsible For

Name License Number
EASTERN DENTAL INSURANCE AGENCY INC AGN50515

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2285583

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/13/2025 11:19:04 PM