| Name: | Arrowhead Dental Associates Incorporated |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Oct 1982 (43 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 |
| 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. |
NAICS
621210 Offices of DentistsThis 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
| 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 |
|---|---|---|
| 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 |
| Name | Role | Address |
|---|---|---|
| JAMES H. HAHN, ESQ. | Agent | C/O PARTRIDGE SNOW & HAHN LLP 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2143228309 | 2021-01-20 | 0165 | PPS | 4995 S County Trl, Charlestown, RI, 02813-3182 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7397617010 | 2020-04-07 | 0165 | PPP | 4995 SOUTH COUNTY TRL, CHARLESTOWN, RI, 02813-3182 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
