| Name: | DELCUPOLO, ABRAMOWITZ & ASSOCIATES, INC., P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 29 Apr 1983 (42 years ago) |
| Date of Dissolution: | 03 Apr 2019 (6 years ago) |
| Date of Status Change: | 03 Apr 2019 (6 years ago) |
| Identification Number: | 000006527 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 5 BENEFIT STREET UNIT 1, PROVIDENCE, RI, 02904, USA |
| Purpose: | DENTAL OFFICE |
| NAICS: | 621210 - Offices of Dentists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457482820 | 2007-03-08 | 2020-08-22 | 16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI, 02903, US | 16 BRIDGE ST, CORLISS LANDING, PROVIDENCE, RI, 02903, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-861-5600 |
| Fax | 4018615603 |
Authorized person
| Name | DR. MARY ANN DELCUPOLO |
| Role | SEC |
| Phone | 4018615600 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 02010 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | 02496 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 02728 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARYANNE DELCUPOLO | Agent | 117 WICKENDEN STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MARY ANNE DELCUPOLO | PRESIDENT | 117 WICKENDEN STREET PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 201989720790 | Revocation Certificate For Failure to Maintain a Registered Office | 2019-04-03 |
| 201983614950 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-03 |
| 201883335720 | Registered Office Not Maintained | 2018-12-24 |
| 201856676630 | Annual Report | 2018-01-24 |
| 201735035390 | Annual Report | 2017-02-28 |
| 201627985110 | Statement of Change of Registered/Resident Agent | 2016-11-28 |
| 201627984500 | Annual Report | 2016-11-28 |
| 201627984690 | Annual Report | 2016-11-28 |
| 201627984960 | Annual Report | 2016-11-28 |
| 201627984410 | Reinstatement | 2016-11-28 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
