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HIGHLAND DENTAL GROUP, INC.

Company Details

Name: HIGHLAND DENTAL GROUP, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 02 Jun 1975 (50 years ago)
Identification Number: 000007530
ZIP code: 02865
County: Providence County
Principal Address: 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865, USA
Purpose: RENDERING PROFESSIONAL AND PERSONAL SERVICE AS DENTISTS AND SURGEONS
NAICS: 621210 - Offices of Dentists
Historical names: FRANK A. DIPIRO, DMD, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144345489 2007-03-19 2020-08-22 1189 SMITHFIELD AVE, LINCOLN, RI, 028652517, US 1189 SMITHFIELD AVE, LINCOLN, RI, 028652517, US

Contacts

Phone +1 401-728-6350
Fax 4017283917

Authorized person

Name DR. LARRY M. FORTI
Role PRESIDENT
Phone 4017286350

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number LF2168
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2019 050364969 2020-10-30 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2020-10-30
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-30
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2019 050364969 2020-03-13 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2020-03-13
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-13
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2018 050364969 2019-04-05 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2019-04-04
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-04
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2017 050364969 2018-03-09 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2018-03-09
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-09
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2016 050364969 2017-03-14 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2017-03-14
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-14
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2015 050364969 2016-03-31 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2016-03-31
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-31
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2014 050364969 2015-05-22 HIGHLAND DENTAL GROUP INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2015-05-22
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-22
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
HIGHLAND DENTAL GROUP INC. PROFIT SHARING PLAN 2013 050364969 2014-10-08 HIGHLAND DENTAL GROUP INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-03-15
Business code 621210
Sponsor’s telephone number 4017286350
Plan sponsor’s address 1189 SMITHFIELD AVENUE, LINCOLN, RI, 02865

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-08
Name of individual signing LARRY FORTI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUIDO R. SALVADORE, ESQ. Agent 10 WEYBOSSET STREET SUITE 303, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
LARRY M FORTI PRESIDENT 1189 SMITHFIELD AVENUE LINCOLN, RI 02865 USA

DIRECTOR

Name Role Address
LARRY M FORTI DIRECTOR 1189 SMITHFIELD AVE LINCOLN, RI 02865 USA

Events

Type Date Old Value New Value
Name Change 1999-04-14 FRANK A. DIPIRO, DMD, INC. HIGHLAND DENTAL GROUP, INC.

Filings

Number Name File Date
202451306470 Annual Report 2024-04-17
202333575150 Annual Report 2023-04-21
202213347790 Annual Report 2022-03-23
202192140010 Annual Report 2021-02-19
202035908490 Annual Report 2020-03-04
201985627840 Annual Report 2019-01-30
201856724070 Annual Report 2018-01-24
201734036910 Statement of Change of Registered Office by the Registered Agent 2017-02-14
201731180760 Annual Report 2017-01-31
201690474340 Annual Report 2016-01-13

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State