| Name: | EDWARD T. FERRY, D.D.S., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 15 Sep 1971 (53 years ago) |
| Date of Dissolution: | 15 Feb 2012 (13 years ago) |
| Date of Status Change: | 15 Feb 2012 (13 years ago) |
| Identification Number: | 000005905 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 599 PONTIAC AVENUE, CRANSTON, RI, 02920, USA |
| Purpose: | Denistry |
| Fictitious names: |
Ferry Orthodontics (trading name, 2007-08-30 - 2008-09-02) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609045491 | 2008-02-26 | 2008-02-26 | 599 PONTIAC AVE, CRANSTON, RI, 029104709, US | 599 PONTIAC AVE, CRANSTON, RI, 029104709, US | |||||||||||||||||||||||
|
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| Phone | +1 401-781-2900 |
Authorized person
| Name | DR. EDWARD THOMAS FERRY |
| Role | PRESIDENT |
| Phone | 4017812900 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 1303 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | EF00785 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| GELFUSO & LACHUT, INCORPORATED | Agent | 1193 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| EDWARD T FERRY DDS | PRESIDENT | 599 PONTIAC AVENUE CRANSTON, RI 02920 USA |
| Number | Name | File Date |
|---|---|---|
| 201289670100 | Annual Report | 2012-02-15 |
| 201289670290 | Annual Report | 2012-02-15 |
| 201289670380 | Annual Report | 2012-02-15 |
| 201289670650 | Reinstatement | 2012-02-15 |
| 201289670830 | Articles of Dissolution | 2012-02-15 |
| 200952870340 | Revocation Certificate For Failure to File the Annual Report for the Year | 2009-10-21 |
| 200948347560 | Revocation Notice For Failure to File An Annual Report | 2009-08-04 |
| 200834221390 | Statement of Abandonment of Use of Fictitious Business Name | 2008-09-02 |
| 200809010510 | Annual Report | 2008-02-20 |
| 200700310340 | Fictitious Business Name Statement | 2007-08-30 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
