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MCMILLEN ORTHODONTICS, LTD.

Company Details

Name: MCMILLEN ORTHODONTICS, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 29 Sep 1978 (47 years ago)
Identification Number: 000009050
ZIP code: 02919
County: Providence County
Principal Address: 1226 HARTFORD AVENUE SUITE 101, JOHNSTON, RI, 02919, US
Purpose: DENTIST
Historical names: Frederick H. McMillen, D. D. S., Ltd.

Industry & Business Activity

NAICS

621210 Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of Dental Medicine), D.D.S. (Doctor of Dental Surgery), or D.D.Sc. (Doctor of Dental Science) primarily engaged in the independent practice of general or specialized dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063433209 2006-07-22 2009-11-11 1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI, 029197100, US 1226 HARTFORD AVE, SUITE 101, JOHNSTON, RI, 029197100, US

Contacts

Phone +1 401-331-7171
Fax 4013312755

Authorized person

Name DR. FREDERICK H MCMILLEN
Role OWNER
Phone 4013317171

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DEN0149
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCMILLEN ORTHODONTICS, LTD. PROFIT SHARING PLAN 2011 050378903 2012-07-27 MCMILLEN ORTHODONTICS, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-08-30
Business code 621210
Sponsor’s telephone number 4013317171
Plan sponsor’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100

Plan administrator’s name and address

Administrator’s EIN 050378903
Plan administrator’s name MCMILLEN ORTHODONTICS, LTD.
Plan administrator’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100
Administrator’s telephone number 4013317171

Signature of

Role Plan administrator
Date 2012-07-27
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
MCMILLEN ORTHODONTICS, LTD. PROFIT SHARING PLAN 2011 050378903 2012-05-02 MCMILLEN ORTHODONTICS, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-08-30
Business code 621210
Sponsor’s telephone number 4013317171
Plan sponsor’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100

Plan administrator’s name and address

Administrator’s EIN 050378903
Plan administrator’s name MCMILLEN ORTHODONTICS, LTD.
Plan administrator’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100
Administrator’s telephone number 4013317171

Signature of

Role Plan administrator
Date 2012-05-02
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-02
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
MCMILLEN ORTHODONTICS, LTD. PROFIT SHARING PLAN 2010 050378903 2011-04-04 MCMILLEN ORTHODONTICS, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-08-30
Business code 621210
Sponsor’s telephone number 4013317171
Plan sponsor’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100

Plan administrator’s name and address

Administrator’s EIN 050378903
Plan administrator’s name MCMILLEN ORTHODONTICS, LTD.
Plan administrator’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100
Administrator’s telephone number 4013317171

Signature of

Role Plan administrator
Date 2011-04-04
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-04
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
MCMILLEN ORTHODONTICS, LTD. PROFIT SHARING PLAN 2009 050378903 2010-09-08 MCMILLEN ORTHODONTICS, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-08-30
Business code 621210
Sponsor’s telephone number 4013317171
Plan sponsor’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100

Plan administrator’s name and address

Administrator’s EIN 050378903
Plan administrator’s name MCMILLEN ORTHODONTICS, LTD.
Plan administrator’s address 1226 HARTFORD AVENUE, SUITE 1, JOHNSTON, RI, 029197100
Administrator’s telephone number 4013317171

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing FREDERICK MCMILLEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FREDERICK H. MCMILLEN Agent 1226 HARTFORD AVENUE SUITE 1, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
FREDERICK H MCMILLEN PRESIDENT 1226 HARTFORD AVENUE #1 JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 2008-05-15 Frederick H. McMillen, D. D. S., Ltd. MCMILLEN ORTHODONTICS, LTD.

Filings

Number Name File Date
202445743120 Annual Report 2024-02-06
202332802950 Annual Report 2023-04-12
202209139130 Annual Report 2022-02-02
202189586120 Annual Report 2021-02-03
202032347210 Annual Report 2020-01-15
201985001820 Annual Report 2019-01-23
201855785360 Annual Report 2018-01-08
201729666250 Annual Report 2017-01-09
201689980340 Annual Report 2016-01-04
201552845060 Annual Report 2015-01-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2485137800 2020-05-23 0165 PPP 1226 Hartford Avenue 101, Johnston, RI, 02852
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 132000
Loan Approval Amount (current) 132000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Johnston, WASHINGTON, RI, 02852-0001
Project Congressional District RI-02
Number of Employees 18
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 133189.81
Forgiveness Paid Date 2021-04-26
7888728303 2021-01-28 0165 PPS 1226 Hartford Ave, Johnston, RI, 02919-7100
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 132000
Loan Approval Amount (current) 132000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Johnston, PROVIDENCE, RI, 02919-7100
Project Congressional District RI-02
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 132690.74
Forgiveness Paid Date 2021-08-16

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State