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  5. MCMILLEN ORTHODONTICS, LTD.

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 (46 years ago)
Identification Number: 000009050
ZIP code: 02919
County: Providence County
Principal Address: 1226 HARTFORD AVENUE SUITE 101, JOHNSTON, RI, 02919, US
Purpose: DENTIST
NAICS: 621210 - Offices of Dentists
Historical names: Frederick H. McMillen, D. D. S., Ltd.

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

Related by officers

FREDERICK H. MCMILLEN

Bonaire Properties Inc.

FREDERICK H MCMILLEN

SEN-GUARD CORPORATION

Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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