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  5. PROSTHODONTICS, LTD.

PROSTHODONTICS, LTD.

Company Details

Name: PROSTHODONTICS, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 16 Mar 1977 (48 years ago)
Date of Dissolution: 14 Jan 2020 (5 years ago)
Date of Status Change: 14 Jan 2020 (5 years ago)
Identification Number: 000007410
ZIP code: 02906
County: Providence County
Principal Address: 200 WATERMAN STREET, PROVIDENCE, RI, 02906, USA
Purpose: MEDICAL OFFICE
NAICS: 621512 - Diagnostic Imaging Centers
Historical names: BURTON P. SACKETT, D.M.D., LTD.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801915186 2007-03-28 2008-09-12 200 WATERMAN ST, PROVIDENCE, RI, 029064039, US 200 WATERMAN ST, PROVIDENCE, RI, 029064039, US

Contacts
Phone +1 401-421-2022
Fax 4014547981

Authorized person
Name DR. LAWRENCE JOHN DARIO
Role OWNER
Phone 4014212022

Taxonomy
Taxonomy Code 1223P0700X - Prosthodontist
License Number 2309
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2018 050371550 2019-05-22 PROSTHODONTICS, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 1 BAGY WRINKLE COVE, WARREN, RI, 02885
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2017 050371550 2018-05-21 PROSTHODONTICS, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2016 050371550 2017-03-08 PROSTHODONTICS, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2015 050371550 2016-03-25 PROSTHODONTICS, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2014 050371550 2015-05-26 PROSTHODONTICS, LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2013 050371550 2014-07-23 PROSTHODONTICS, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2012 050371550 2013-07-10 PROSTHODONTICS, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2011 050371550 2012-03-21 PROSTHODONTICS, LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2012-03-21
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2010 050371550 2011-04-19 PROSTHODONTICS, LTD. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2011-04-19
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature
PROSTHODONTICS, LTD. 401(K) PROFIT SHARING PLAN 2009 050371550 2010-06-23 PROSTHODONTICS, LTD. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-03-01
Business code 621210
Sponsor’s telephone number 4014212022
Plan sponsor’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050371550
Plan administrator’s name PROSTHODONTICS, LTD.
Plan administrator’s address 200 WATERMAN STREET, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014212022

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing LAWRENCE DARIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAWRENCE J. DARIO Agent 200 WATERMAN STREET, PROVIDENCE, RI, 02906, USA

PRESIDENT

Name Role Address
LAWRENCE JOHN DARIO DMD PRESIDENT 200 WATERMAN ST. PROVIDENCE, FL 02906 USA

Events

Type Date Old Value New Value
Name Change 1991-01-10 BURTON P. SACKETT, D.M.D., LTD. PROSTHODONTICS, LTD.

Filings

Number Name File Date
202032295520 Articles of Dissolution 2020-01-14
201986228370 Annual Report 2019-02-08
201856384850 Annual Report 2018-01-18
201738090080 Annual Report 2017-03-13
201691914430 Annual Report 2016-02-04
201555037020 Annual Report 2015-02-13
201432852920 Annual Report 2014-01-13
201310381410 Annual Report 2013-01-25
201288143560 Annual Report 2012-01-18
201175722050 Annual Report 2011-02-23

Related by officers

LAWRENCE J. DARIO

LAWRENCE J. DARIO, D.M.D., LTD DARIO INVESTMENTS, LLC.

Related by address

200 WATERMAN STREET, PROVIDENCE, RI, 02906, USA

Q-Labs Scientific Devices, LLC DARIO INVESTMENTS, LLC. East Side Tutors, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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