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Periodontics, Inc.

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Company Details

Name: Periodontics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 02 Jan 1969 (57 years ago)
Identification Number: 000010073
ZIP code: 02906
City: Providence
County: Providence County
Purpose: PERIODONTAL PRACTICE
Historical names: Periodontal Associates, Inc.
Drs. Paul L. Segal and Daniel P. DeCesare, Inc.
Principal Address: Google Maps Logo 167 GANO STREET, PROVIDENCE, RI, 02906, USA

Contact Details

Phone +1 401-274-2600

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

Companies doing Offices of dentists

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
SCOTT M. FERTIK, DDS PRESIDENT 167 GANO STREET PROVIDENCE, RI 02906 USA

VICE PRESIDENT

Name Role Address
JOHN G. BRODERICK DMD VICE PRESIDENT 167 GANO STREET PROVIDENCE, RI 02906 USA

DIRECTOR

Name Role Address
SCOTT M. FERTIK DDS DIRECTOR 167 GANO STREET PROVIDENCE, RI 02906 USA
JOHN G. BRODERICK DMD DIRECTOR 167 GANO STREET PROVIDENCE, RI 02906 USA

National Provider Identifier

NPI Number:
1841398658
Link:
View on NPI website

Authorized Person:

Name:
DR. SCOTT M FERTIK
Role:
PRESIDENT
Phone:
4012742600

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 401-274-2600
Fax:
4014217875

Form 5500 Series

Employer Identification Number (EIN):
050318087
Plan Year:
2023
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
4012742600
File:
View File
Plan Administrator / Signatory:
SCOTT FERTIK(Plan administrator)
Plan Year:
2022
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
4012742600
File:
View File
Plan Administrator / Signatory:
SCOTT FERTIK(Plan administrator)
Plan Year:
2021
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:
4012742600
File:
View File
Plan Administrator / Signatory:
SCOTT FERTIK(Plan administrator)
Plan Year:
2020
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
4012742600
File:
View File
Plan Administrator / Signatory:
SCOTT FERTIK(Plan administrator)
Plan Year:
2019
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
4012742600
File:
View File
Plan Administrator / Signatory:
SCOTT FERTIK(Plan administrator)

Events

Type Date Old Value New Value
Name Change 1995-01-09 Drs. Paul L. Segal and Daniel P. DeCesare, Inc. Periodontics, Inc.
Name Change 1971-01-25 Periodontal Associates, Inc. Drs. Paul L. Segal and Daniel P. DeCesare, Inc.

Licenses

License No License Type Status Date Issued Expiration Date
DEF0200 Dental X-ray Facility Active 1999-08-12 2026-08-31

Filings

Number Name File Date
202448882600 Annual Report 2024-03-19
202333230310 Annual Report 2023-04-18
202216986770 Annual Report 2022-05-06
202191256820 Annual Report 2021-02-10
202035448680 Annual Report 2020-02-25

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202430638370
Filing Date:
2024-06-04
Action:
InitialFiling

Parties

Party Name:
Periodontics, Inc.
Party Role:
Debtor(s)
Party Name:
NEWLANE FINANCE COMPANY
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202227308460
Filing Date:
2022-08-02
Action:
Continuation

Parties

Party Name:
Periodontics, Inc.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202125959700
Filing Date:
2021-11-26
Action:
InitialFiling

Parties

Party Name:
Periodontics, Inc.
Party Role:
Debtor(s)
Party Name:
U.S. BANK EQUIPMENT FINANCE, A DIVISION OF U.S. BANK NATIONAL ASSOCIATION
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-01-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$130,000
Total Face Value Of Loan:
$130,000
Business Type:
SMALL BUSINESS
Date:
2020-05-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$130,000
Total Face Value Of Loan:
$130,000
Business Type:
SMALL BUSINESS
Date:
2020-05-21
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$-176,400
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-05-08
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
$0
Face Value Of Loan:
$150,000
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$9,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$130,000
Date Approved:
2020-05-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$130,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$130,943.84
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $130,000
Jobs Reported:
14
Initial Approval Amount:
$130,000
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$130,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$130,808.49
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $129,995
Utilities: $1

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Date of last update: 07 Jul 2025

Sources: Rhode Island Department of State

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