black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EASTERN DENTAL INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN50515
Status:
Active
First Licensure:
07/29/1997
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
200 FRIBERG PKWY STE 2002
WESTBOROUGH, MA 01581-3999
Mailing:
200 FRIBERG PKWY STE 2002
WESTBOROUGH, MA 01581-3999
Phone:
+1 (800) 898-3342
Fax:
+1 (508) 836-9910
Email:
jdombek@edic.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/01/1997 04/01/2027
ORGANIZATION NON-RESIDENT BROKER 07/29/1997 09/30/1997

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 02/27/2016 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 02/27/2016 PCF44
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 04/13/2020 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 04/13/2020 PCF145893
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 07/29/1997 PCF396 02/09/2016
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 01/29/2019 PCF396
CITIZENS INSURANCE COMPANY OF AMERICA
 04/13/2020 PCF937
EXECUTIVE RISK INDEMNITY INC.
 05/17/2002 PCF42522
FEDERAL INSURANCE COMPANY
 02/16/2007 PCF439
THE HANOVER AMERICAN INSURANCE COMPANY
 04/13/2020 PCF197298
THE HANOVER INSURANCE COMPANY
 04/13/2020 PCF712
HARTFORD ACCIDENT & INDEMNITY COMPANY
 06/03/2003 PCF462 07/03/2008
HARTFORD CASUALTY INSURANCE COMPANY
 06/03/2003 PCF967 10/24/2017
HARTFORD FIRE INSURANCE COMPANY
 06/03/2003 PCF464 10/24/2017
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 06/03/2003 PCF1021 07/03/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 06/03/2003 PCF992 07/03/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 03/12/2014 PCF992 06/02/2015
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 02/27/2016 PCF50104
MASSACHUSETTS BAY INSURANCE COMPANY
 04/13/2020 PCF505
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 12/11/2001 PCF79
SENTINEL INSURANCE COMPANY LTD
 05/09/2011 PCF84269 10/24/2017
TWIN CITY FIRE INSURANCE COMPANY
 06/03/2003 PCF963 10/24/2017
VERLAN FIRE INSURANCE COMPANY
 04/13/2020 PCF161934
WESTCHESTER FIRE INSURANCE COMPANY
 02/27/2016 PCF177973

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
JOHN P. DOMBEK
 07/29/2014 PRN235809
LEAH ELIZABETH GRAVES
 11/09/2016 PRN278467
STEPHANIE HOPE NAUGHTON
 07/04/2018 PRN312258

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
JOHN P. DOMBEK PRN235809

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2013737

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 03:33:13 PM