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  5. DR. LAWRENCE D. PAGE, INC.

DR. LAWRENCE D. PAGE, INC.

Company Details

Name: DR. LAWRENCE D. PAGE, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Nov 1971 (53 years ago)
Identification Number: 000009360
ZIP code: 02906
County: Providence County
Principal Address: 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906, USA
Purpose: PRACTICE OF DENTISTRY
NAICS: 621210 - Offices of Dentists
Historical names: DRS. LAWRENCE PAGE AND LEWIS ROSES, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255531265 2007-07-19 2008-07-16 31 ELMGROVE AVE, PROVIDENCE, RI, 029064103, US 31 ELMGROVE AVE, PROVIDENCE, RI, 029064103, US

Contacts
Phone +1 401-421-9350

Authorized person
Name DR. LAWRENCE D PAGE
Role DENTIST
Phone 4014219350

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 1348
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number LP01970
State RI
Issuer MEDICAID
Number LP01971
State RI
Issuer MEDICAID
Number MP01974
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2020 050347678 2021-05-22 DR. LAWRENCE D. PAGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2021-05-22
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-22
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2019 050347678 2020-06-12 DR. LAWRENCE D. PAGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2020-06-12
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-12
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2018 050347678 2019-07-02 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-02
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2017 050347678 2018-07-01 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2018-07-01
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-01
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2016 050347678 2017-07-12 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-12
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2015 050347678 2016-07-07 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-07
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2014 050347678 2015-06-10 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-10
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2013 050347678 2014-06-05 DR. LAWRENCE D. PAGE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-05
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2012 050347678 2013-06-13 DR. LAWRENCE D. PAGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
DR. LAWRENCE D. PAGE, INC. PROFIT SHARING PLAN 2011 050347678 2012-03-31 DR. LAWRENCE D. PAGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050347678
Plan administrator’s name DR. LAWRENCE D. PAGE, INC.
Plan administrator’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014219350

Signature of
Role Plan administrator
Date 2012-03-31
Name of individual signing LAWRENCE D. PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-31
Name of individual signing LAWRENCE D. PAGE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/28/20110228210033P040018030513001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s mailing address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906
Plan sponsor’s address DR. LAWRENCE D. PAGE, 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050347678
Plan administrator’s name DR. LAWRENCE D. PAGE, INC.
Plan administrator’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014219350

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2011-02-28
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-28
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/17/20100917154643P030056941235001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1973-11-01
Business code 621210
Sponsor’s telephone number 4014219350
Plan sponsor’s mailing address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906
Plan sponsor’s address DR. LAWRENCE D. PAGE, 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906

Plan administrator’s name and address
Administrator’s EIN 050347678
Plan administrator’s name DR. LAWRENCE D. PAGE, INC.
Plan administrator’s address 31 ELMGROVE AVENUE, PROVIDENCE, RI, 02906
Administrator’s telephone number 4014219350

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2010-09-17
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-17
Name of individual signing LAWRENCE PAGE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DANIEL S. KAPLAN, ESQ. Agent 2377 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
LAWRENCE D PAGE PRESIDENT 31 ELMGROVE AVENUE PROVIDENCE, RI 02906 USA

Events

Type Date Old Value New Value
Name Change 1973-11-02 DRS. LAWRENCE PAGE AND LEWIS ROSES, INC. DR. LAWRENCE D. PAGE, INC.

Filings

Number Name File Date
202445490060 Annual Report 2024-02-04
202329179760 Annual Report 2023-02-22
202209859740 Annual Report 2022-02-08
202189974990 Annual Report 2021-02-04
202034700860 Annual Report 2020-02-18
201987601910 Annual Report 2019-02-22
201857747500 Annual Report 2018-02-05
201734180000 Annual Report 2017-02-15
201690151520 Annual Report 2016-01-06
201554446670 Annual Report 2015-01-30

Related by officers

DANIEL S. KAPLAN, ESQ.

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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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