Maciek Zajac
Concerns, Conditions and/or Professional Misconduct
Full Name:
                    Maciek  Zajac
                Designated Electoral District:
                        District 4
                    Registration Number:
                        13861
                    Current Status:
                    
                        Member
                    
                Practice Information
                                    Primary Practice
                                    
                                        
                                    
                                
                                
                                    
                                         
                                            20 Polonia Ave #102
     Brampton, ON, CA
     L6Y 0K9
                                    
                                
                                    
                                        Phone:
                                        (905) 455-2900
                                    
                                
                                
                                    Sedation & Anesthesia Facility Permit:
                                        
                                            No
                                        
                                
                                
                                    CT Scanner Facility Permit:
                                        
                                            No
                                        
                                                                    
                            
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                        All Practice Locations
                            
                                                    
                                                        
                                                            20 Polonia Ave #102
     Brampton, ON, CA
     L6Y 0K9
                                                    
                                                
                                            
                                                        Phone:
                                                        (905) 455-2900
                                                    
                                                
                                                    Sedation & Anesthesia Facility Permit:
                                                        
                                                            No
                                                        
                                                
                                                
                                                    CT Scanner Facility Permit:
                                                        
                                                            No
                                                        
                                                
                                            
                                                    
                                                        Mississauga Dental Walk In
                                                            3885 Duke of York Blvd #209
     Mississauga, ON, CA
     L5B 0E4
                                                    
                                                
                                            
                                                        Phone:
                                                        (905) 615-9000
                                                    
                                                
                                                    Sedation & Anesthesia Facility Permit:
                                                        
                                                            No
                                                        
                                                
                                                
                                                    CT Scanner Facility Permit:
                                                        
                                                            No
                                                        
                                                
                                            
                             See Hide Professional Corporation Information
                            
                                
                                        
                                            
                                                
                                                    
                                                        
                                                    
                                                
                                                
                                                
                                                    
                                        
                                        
                                            
                                                
                                                    
                                                
                                                    
                                                    
                                                        
                                                        
                                        
                                        
                                            
                                                
                                                    
                                                        
                                                    
                                                
                                                
                                                
                                                    
                                        
                                        
                                            
                                                
                                                    
                                                
                                                    
                                                    
                                                        
                                                        
                                        
                                
                            
                        
                Professional Corporation Information
                                
                                                    
                                                        Dr. Maciek Zajac Dentistry Professional Corporation
                                                            20 Polonia Ave #102
    Brampton, ON, CA
     L6Y 0K9
                                                    
                                                
                                            
                                                        Phone:
                                                        905-455-2900
                                                    
                                                
                                                        Certificate of Authorization Status:
                                                        Current
                                                    
                                                
                                                        Certificate of Authorization Issuance:
                                                        February 26, 2010
                                                    
                                                
                                                            Shareholders
                                                        
                                                    
                                                            
                                                                Dr. Maciek Zajac
                                                            
                                                                 - Imposed Terms, Conditions and Limitations
                                                        
                                            
                                                    
                                                        Dr. M. Zajac Dentistry Professional Corporation
                                                            20 Polonia Ave
    unit 102 102 Brampton, ON, CA
     L6Y0K9
                                                    
                                                
                                            
                                                        Phone:
                                                        905-598-1006
                                                    
                                                
                                                        Certificate of Authorization Status:
                                                        Current
                                                    
                                                
                                                        Certificate of Authorization Issuance:
                                                        February 20, 2010
                                                    
                                                
                                                            Shareholders
                                                        
                                                    
                                                            
                                                                Dr. Maciek Zajac
                                                            
                                                                 - Imposed Terms, Conditions and Limitations
                                                        
                                            Academic Information
Dental Degree
                        - 1998
 - University of Toronto, Canada
 
This may not be a complete record of the member's academic information or continuing education.
Certificate(s) of Registration
Current Certificate(s) of Registration and Date(s) of Issuance
                            - General
 
Previous Certificate(s) of Registration
                            - General
 - -
 
- General
 - -
 
Initial Date of Registration
                    
                
            Discipline Results
Case File: H170018
                            - Date of Decision:
 
Allegations:
Guilty- Charged excessive or unreasonable fees
 - Failed to keep records as required by the Regulations
 - Failed to make reasonable attempts to collect a co-payment balance from patient(s) without consent of third-party payer
 - Submitted a false or misleading account or charge
 
- Signed a certificate, report or similar document that contained a false, misleading or improper statement
 
Penalty:
- $5,000.00 to be paid to College
 - Imposed Course/Training in Recordkeeping, billing and co-payments, including the use of billing codes
 - Imposed Practice Monitoring (office visits) for 24 months following completion of course
 - Reprimand
 - Suspension 4 months - effective Nov 27, 2018 to Mar 26, 2019
 
- Appealed:
 - No
 
Decision Summary
Case File: H100012
                            - Date of Decision:
 
Allegations:
Guilty- Charged excessive or unreasonable fees
 - Charged to a patient, a lab fee that was more than the actual commercial lab fee incurred by the dentist
 - Failed to keep records as required by the Regulations
 - Failed to make reasonable attempts to collect a co-payment balance from patient(s) without consent of third-party payer
 - Recommended or provided an unnecessary dental service
 - Signed a certificate, report or similar document that contained a false, misleading or improper statement
 - Submitted a false or misleading account or charge
 
Penalty:
- $5,000.00 to be paid to College
 - Imposed Course/Training Ethics
 - Imposed Course/Training Recordkeeping
 - Imposed Practice Monitoring (office visits) for 24 months following completion of courses, at member's expense
 - Reprimand
 - Suspension 4 months - effective Jul 18, 2011 to Nov 17, 2011
 
- Appealed:
 - No
 - Publications:
 - (See link to Decision Summary)
 
Decision Summary