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  5. OMS Specialists, Inc.

OMS Specialists, Inc.

Company Details

Name: OMS Specialists, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Jul 1982 (42 years ago)
Date of Dissolution: 12 Mar 2014 (11 years ago)
Date of Status Change: 12 Mar 2014 (11 years ago)
Identification Number: 000011822
ZIP code: 02919
County: Providence County
Principal Address: 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA
Purpose: DENTAL SERVICES
Historical names: RICHARD E. GORDON, D.M.D., LTD.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427170208 2007-04-04 2020-08-22 1524 ATWOOD AVE, SUITE #137, JOHNSTON, RI, 029193228, US 1524 ATWOOD AVE, SUITE #137, JOHNSTON, RI, 029193228, US

Contacts
Phone +1 401-751-8029
Fax 4017510266

Authorized person
Name DR. RICHARD E. GORDON
Role OWNER
Phone 4017518029

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DNT1823
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OMS SPECIALISTS, INC. INCENTIVE PLAN 2013 050396869 2014-07-09 OMS SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-07-01
Business code 621210
Sponsor’s telephone number 4017518029
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050396869
Plan administrator’s name OMS SPECIALISTS, INC.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4017518029

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing RICHARD E. GORDON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
OMS SPECIALISTS, INC. INCENTIVE PLAN 2012 050396869 2013-08-29 OMS SPECIALISTS, INC. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-07-01
Business code 621210
Sponsor’s telephone number 4017518029
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050396869
Plan administrator’s name OMS SPECIALISTS, INC.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4017518029

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing RICHARD E. GORDON, DMD
Valid signature Filed with authorized/valid electronic signature
OMS SPECIALISTS, INC. INCENTIVE PLAN 2011 050396869 2012-10-22 OMS SPECIALISTS, INC. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-07-01
Business code 621210
Sponsor’s telephone number 4017518029
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050396869
Plan administrator’s name OMS SPECIALISTS, INC.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4017518029

Signature of
Role Plan administrator
Date 2012-10-22
Name of individual signing RICHARD E. GORDON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
OMS SPECIALISTS, INC. INCENTIVE PLAN 2010 050396869 2012-01-19 OMS SPECIALISTS, INC. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-07-01
Business code 621210
Sponsor’s telephone number 4017518029
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050396869
Plan administrator’s name OMS SPECIALISTS, INC.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4017518029

Signature of
Role Plan administrator
Date 2012-01-19
Name of individual signing RICHARD E. GORDON, DMD
Valid signature Filed with authorized/valid electronic signature
OMS SPECIALISTS, INC. INCENTIVE PLAN 2009 050396869 2010-12-09 OMS SPECIALISTS, INC. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-07-01
Business code 621210
Sponsor’s telephone number 4017518029
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050396869
Plan administrator’s name OMS SPECIALISTS, INC.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4017518029

Signature of
Role Plan administrator
Date 2010-12-09
Name of individual signing RICHARD E. GORDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-12-09
Name of individual signing RICHARD E. GORDON, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD E. GORDON, D.M.D. Agent 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
RICHARD E GORDON DMD PRESIDENT 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 1990-07-02 RICHARD E. GORDON, D.M.D., LTD. OMS Specialists, Inc.

Filings

Number Name File Date
201436996800 Annual Report 2014-03-12
201436996990 Articles of Dissolution 2014-03-12
201306762360 Annual Report 2013-01-02
201287509510 Annual Report 2012-01-04
201175848750 Annual Report 2011-03-01
201175848660 Statement of Change of Registered/Resident Agent 2011-03-01
201058076030 Annual Report 2010-02-05
200940206900 Annual Report 2009-01-09
200805376340 Annual Report 2008-01-08

Related by officers

No related officers

Related by address

1524 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA

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Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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