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ANGELL STREET DENTAL ASSOCIATES, INC.

Company Details

Name: ANGELL STREET DENTAL ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 27 Jul 1984 (40 years ago)
Date of Dissolution: 30 Dec 2020 (4 years ago)
Date of Status Change: 30 Dec 2020 (4 years ago)
Identification Number: 000005221
ZIP code: 02906
County: Providence County
Principal Address: 425 ANGELL STREET, PROVIDENCE, RI, 02906, USA
Purpose: GENERAL DENTISTRY
NAICS: 621210 - Offices of Dentists
Fictitious names: Angell Street Dental Associates (trading name, 1997-12-11 - )
Historical names: MAL INC.
MAYER A. LEVITT, D.M.D. AND CHARLES M. RIOTTO, D.M.D., INC.
MAYER A. LEVITT, D.M.D., CHARLES M. RIOTTO, D.M.D.AND JOHN R. PAQUETTE, D.M.D., INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013173277 2008-08-06 2008-08-06 425 ANGELL ST, PROVIDENCE, RI, 029064403, US 425 ANGELL ST, PROVIDENCE, RI, 029064403, US

Contacts

Phone +1 401-272-2331
Fax 4012722361

Authorized person

Name DR. CHARLES MICHAEL RIOTTO
Role PRESIDENT
Phone 4012722331

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number RI2044
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANGELL STREET DENTAL ASSOCIATES, INC. DEFINED BENEFIT PENSION PLAN & TRUST 2020 050408952 2021-01-12 ANGELL STREET DENTAL ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2021-01-12
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. RETIREMENT PLAN & TRUST 2020 050408952 2021-01-12 ANGELL STREET DENTAL ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2021-01-12
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. RETIREMENT PLAN & TRUST 2019 050408952 2020-09-30 ANGELL STREET DENTAL ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. DEFINED BENEFIT PENSION PLAN & TRUST 2019 050408952 2020-09-30 ANGELL STREET DENTAL ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. DEFINED BENEFIT PENSION PLAN & TRUST 2018 050408952 2020-05-28 ANGELL STREET DENTAL ASSOCIATES, INC. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2020-05-28
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. RETIREMENT PLAN & TRUST 2018 050408952 2019-10-11 ANGELL STREET DENTAL ASSOCIATES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ANGELL STREET DENTAL ASSOCIATES, INC. DEFINED BENEFIT PENSION PLAN & TRUST 2018 050408952 2019-10-11 ANGELL STREET DENTAL ASSOCIATES, INC. 24
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4012722331
Plan sponsor’s address 425 ANGELL STREET, UNIT 2, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing CHARLES M. RIOTTO, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN R. WHITE, ESQ. Agent 126 HUNDRED ACRE POND ROAD EAST, WEST KINGSTON, RI, 02892, USA

PRESIDENT

Name Role Address
CHARLES M RIOTTO DMD PRESIDENT 40 WATER WAY BARRINGTON, RI 02806 USA

Events

Type Date Old Value New Value
Name Change 1997-12-11 MAYER A. LEVITT, D.M.D., CHARLES M. RIOTTO, D.M.D.AND JOHN R. PAQUETTE, D.M.D., INC. ANGELL STREET DENTAL ASSOCIATES, INC.
Name Change 1992-12-30 MAYER A. LEVITT, D.M.D. AND CHARLES M. RIOTTO, D.M.D., INC. MAYER A. LEVITT, D.M.D., CHARLES M. RIOTTO, D.M.D.AND JOHN R. PAQUETTE, D.M.D., INC.
Name Change 1985-09-05 MAL INC. MAYER A. LEVITT, D.M.D. AND CHARLES M. RIOTTO, D.M.D., INC.

Filings

Number Name File Date
202082814960 Revocation Certificate For Failure to File the Annual Report for the Year 2020-12-30
202054944330 Revocation Notice For Failure to File An Annual Report 2020-09-16
201986235530 Annual Report 2019-02-08
201858908270 Annual Report 2018-02-20
201733697770 Annual Report 2017-02-06
201692665340 Annual Report 2016-02-18
201554654750 Annual Report 2015-02-05
201434436100 Annual Report 2014-01-27
201327990540 Statement of Change of Registered/Resident Agent Office 2013-09-09
201310203730 Annual Report 2013-01-22

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State