| 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 (44 years ago) |
| Date of Dissolution: | 12 Sep 2023 (a year ago) |
| Date of Status Change: | 12 Sep 2023 (a year ago) |
| Identification Number: | 000015065 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 230 TUCKERMAN AVENUE, MIDDLETOWN, RI, 02842, USA |
| Purpose: | DENTAL PRACTICE |
| NAICS: | 621210 - Offices of Dentists |
| Historical names: |
Daniel J. Sullivan, DDS, P.C., Inc. SULLIVAN, D.D.S. AND NELSON, D.M.D., P.C., INC. |
| 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 | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| 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 | SECRETARY | 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 |
| 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 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
