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  5. MARK S. BICHAJIAN DMD, INC.

MARK S. BICHAJIAN DMD, INC.

Company Details

Name: MARK S. BICHAJIAN DMD, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 21 Mar 1978 (47 years ago)
Identification Number: 000011621
ZIP code: 02888
County: Kent County
Principal Address: 708 WARWICK AVENUE, WARWICK, RI, 02888, USA
Purpose: GENERAL DENTISTRY
NAICS: 621210 - Offices of Dentists
Fictitious names: Professional Dental Associates Inc. (trading name, 1983-12-09 - )
Historical names: RICHARD GOLDENBERG D M D, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871677583 2006-10-25 2016-03-30 708 WARWICK AVE, WARWICK, RI, 028882670, US 708 WARWICK AVE, WARWICK, RI, 028882670, US

Contacts
Phone +1 401-785-2111
Fax 4019411547

Authorized person
Name MS. JOANNE SCHIAVULLI
Role OFFICE MANAGER
Phone 4017852111

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAL ASSISTANCE
Number PD00610
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK S BICHAJIAN DMD INC PSP 2023 050376247 2024-04-11 MARK S BICHAJIAN DMD INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s address 708 WARWICK AVE, WARWICK, RI, 028882670

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 S VILLAGE WAY, JUPITER, FL, 334587828
Administrator’s telephone number 5613524940

Signature of
Role Plan administrator
Date 2024-04-11
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S BICHAJIAN DMD INC PSP 2014 050376247 2015-05-24 MARK S BICHAJIAN DMD INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-05-24
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-24
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S BICHAJIAN DMD INC PSP 2013 050376247 2014-04-16 MARK S BICHAJIAN DMD INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-04-16
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-16
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S BICHAJIAN DMD INC PSP 2012 050376247 2013-01-22 MARK S BICHAJIAN DMD INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-01-22
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S BICHAJIAN DMD INC PSP 2011 050376247 2012-04-30 MARK S BICHAJIAN DMD INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S. BICHAJIAN, DMD, INC. PSP 2010 050376247 2011-04-16 MARK S. BICHAJIAN DMD INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT INC
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-04-16
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S. BICHAJIAN DMD, INC. PSP 2009 050376247 2010-07-07 MARK S. BICHAJIAN DMD INC. 17
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S. BICHAJIAN DMD, INC. PSP 2009 050376247 2010-07-07 MARK S. BICHAJIAN DMD INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S. BICHAJIAN DMD, INC. PSP 2009 050376247 2010-07-07 MARK S. BICHAJIAN DMD INC. 17
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
MARK S. BICHAJIAN DMD, INC. PSP 2009 050376247 2010-07-07 MARK S. BICHAJIAN DMD INC. 17
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/07/20100707193209P070011549586001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-03-01
Business code 621210
Sponsor’s telephone number 4017852111
Plan sponsor’s DBA name PROFESSIONAL DENTAL ASSOCIATES
Plan sponsor’s mailing address 708 WARWICK AVENUE, WARWICK, RI, 02888
Plan sponsor’s address 708 WARWICK AVENUE, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 650715423
Plan administrator’s name RMG MANAGEMENT, INC.
Plan administrator’s address 120 SOUTH VILLAGE WAY, JUPITER, FL, 33458
Administrator’s telephone number 5615752435

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 16
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing RICHARD M GOLDENBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK S. BICHAJIAN, DMD Agent 708 WARWICK AVENUE, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
MARK BICHAJIAN, DMD PRESIDENT 25 MAINSAIL DRIVE TIVERTON, RI 02878 USA

Events

Type Date Old Value New Value
Name Change 1997-06-02 RICHARD GOLDENBERG D M D, INC. MARK S. BICHAJIAN DMD, INC.

Filings

Number Name File Date
202448003230 Annual Report 2024-02-29
202328762800 Annual Report 2023-02-16
202209285260 Annual Report 2022-02-01
202191329010 Annual Report 2021-02-12
202033308670 Annual Report 2020-01-27
201985862250 Annual Report 2019-02-01
201857064850 Annual Report 2018-01-26
201734120880 Annual Report 2017-02-13
201691051720 Annual Report 2016-01-21
201554533280 Annual Report 2015-02-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5155218601 2021-03-20 0165 PPS 708 Warwick Ave, Warwick, RI, 02888-2670
Loan Status Date 2021-12-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162000
Loan Approval Amount (current) 162000
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 Warwick, KENT, RI, 02888-2670
Project Congressional District RI-02
Number of Employees 16
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 Unanswered
Veteran Unanswered
Forgiveness Amount 163003.07
Forgiveness Paid Date 2021-11-15
9593467804 2020-06-08 0165 PPP 708 WARWICK AVE, WARWICK, RI, 02888-2670
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162000
Loan Approval Amount (current) 162000
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 WARWICK, KENT, RI, 02888-2670
Project Congressional District RI-02
Number of Employees 19
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 Unanswered
Veteran Unanswered
Forgiveness Amount 163335.95
Forgiveness Paid Date 2021-04-22

Related by officers

No related officers

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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