| Name: | MILESTONE DENTAL CARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 13 Aug 1980 (45 years ago) |
| Date of Dissolution: | 12 Sep 2023 (2 years ago) |
| Date of Status Change: | 12 Sep 2023 (2 years ago) |
| Identification Number: | 000015065 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 230 TUCKERMAN AVENUE, MIDDLETOWN, RI, 02842, USA |
| Purpose: | DENTAL PRACTICE |
| Historical names: |
Daniel J. Sullivan, DDS, P.C., Inc. SULLIVAN, D.D.S. AND NELSON, D.M.D., P.C., INC. |
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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558394049 | 2006-07-08 | 2020-08-22 | 94 E MAIN RD, MIDDLETOWN, RI, 028424912, US | 94 E MAIN RD, MIDDLETOWN, RI, 028424912, US | |||||||||||||||||||||||||
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| Phone | +1 401-846-2314 |
| Fax | 4018463289 |
Authorized person
| Name | DR. MARY KATHLYN SMITH NELSON |
| Role | PRESIDENT |
| Phone | 4018463214 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DEN 2287 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RI STATE LIC NUMBER |
| Number | 2287 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| M. KATHRYN NELSON, DMD | Agent | 94 EAST MAIN ROAD, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| M. KATHLYN NELSON | TREASURER | 230 TUCKERMAN AVE MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| PAUL E NELSON | VICE PRESIDENT | 230 TUCKERMAN AVE MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| M. KATHLYN NELSON DMD | PRESIDENT | 230 TUCKERMAN AVENUE MIDDLETOWN, RI 02842- USA |
| Name | Role | Address |
|---|---|---|
| MARY-KATHLYN NELSON | OTHER OFFICER | 230 TUCKERMAN AVENUE MIDDLETOWN, RI 02842 UNI |
| Name | Role | Address |
|---|---|---|
| PAUL E NELSON | SECRETARY | 230 TUCKERMAN AVE MIDDLETOWN, RI 02842 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2001-03-21 | SULLIVAN, D.D.S. AND NELSON, D.M.D., P.C., INC. | MILESTONE DENTAL CARE, INC. |
| Name Change | 1991-11-01 | Daniel J. Sullivan, DDS, P.C., Inc. | SULLIVAN, D.D.S. AND NELSON, D.M.D., P.C., INC. |
| Number | Name | File Date |
|---|---|---|
| 202341443700 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202337986970 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202208599890 | Annual Report | 2022-01-25 |
| 202198956480 | Annual Report | 2021-07-02 |
| 202196729860 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202030912690 | Annual Report | 2020-01-01 |
| 201987355750 | Annual Report | 2019-02-23 |
| 201856125840 | Annual Report | 2018-01-14 |
| 201737166470 | Annual Report | 2017-03-02 |
| 201692420570 | Annual Report | 2016-02-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2709507205 | 2020-04-16 | 0165 | PPP | 94 E Main Rd, Middletown, RI, 02842 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
