| Name: | Arrowhead Dental Associates Incorporated |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Oct 1982 (42 years ago) |
| Identification Number: | 000011885 |
| ZIP code: | 02813 |
| County: | Washington County |
| Principal Address: | 4995 S. COUNTY TRAIL P.O. BOX 850, CHARLESTOWN, RI, 02813, US |
| Purpose: | DENTISTRY |
| NAICS: | 621210 - Offices of Dentists |
| Fictitious names: |
Arrowhead Dental Association (trading name, 1993-11-22 - ) |
| Historical names: |
BRUCE D. GOUIN, D.M.D. and M. CHRISTINE BENOIT, D.M.D., Ltd. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710022371 | 2007-02-21 | 2020-08-22 | 4995 S COUNTY TRL, P. O. BOX 850, CHARLESTOWN, RI, 028133182, US | 4995 S COUNTY TRL, CHARLESTOWN, RI, 028133182, US | |||||||||||||||||
|
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| Phone | +1 401-364-6300 |
| Fax | 4013649190 |
Authorized person
| Name | TERRIE STRAIGHT |
| Role | INSURANCE COORDINATOR |
| Phone | 4013646300 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES H. HAHN, ESQ. | Agent | C/O PARTRIDGE SNOW & HAHN LLP 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| BRUCE GOUIN | PRESIDENT | 30 CHEROKEE BEND CHARLESTOWN, RI 02813 USA |
| Name | Role | Address |
|---|---|---|
| M. CHRISTINE BENOIT | VICE PRESIDENT | 30 CHEROKEE BEND CHARLESTOWN, RI 02813 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1993-04-01 | BRUCE D. GOUIN, D.M.D. and M. CHRISTINE BENOIT, D.M.D., Ltd. | Arrowhead Dental Associates Incorporated |
| Number | Name | File Date |
|---|---|---|
| 202445394250 | Annual Report | 2024-02-02 |
| 202327659200 | Annual Report | 2023-02-06 |
| 202212525270 | Annual Report | 2022-03-02 |
| 202193458420 | Annual Report | 2021-03-02 |
| 202033753470 | Annual Report | 2020-02-05 |
| 201920275990 | Statement of Change of Registered/Resident Agent | 2019-09-18 |
| 201984587730 | Annual Report | 2019-01-16 |
| 201857799770 | Annual Report | 2018-02-07 |
| 201730974900 | Annual Report | 2017-01-27 |
| 201690690100 | Annual Report | 2016-01-14 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
