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  5. JEFFERSON DENTAL ASSOCIATES, LTD.

JEFFERSON DENTAL ASSOCIATES, LTD.

Company Details

Name: JEFFERSON DENTAL ASSOCIATES, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 19 Nov 1982 (42 years ago)
Identification Number: 000015285
ZIP code: 02818
County: Kent County
Principal Address: 165 DAGNILLO DRIVE, EAST GREENWICH, RI, 02818, USA
Purpose: TO ENGAGE IN THE PRACTICE OF DENTISTRY.
Historical names: Melvin E. Hanzel, D.M.D., LTD.

Industry & Business Activity

NAICS

621210 Offices of Dentists

This 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

Companies doing Offices of dentists

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2022 050398438 2024-08-15 JEFFERSON DENTAL ASSOCIATES, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2021 050398438 2023-06-26 JEFFERSON DENTAL ASSOCIATES, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2021 050398438 2022-07-15 JEFFERSON DENTAL ASSOCIATES, LTD. 13
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2020 050398438 2022-08-10 JEFFERSON DENTAL ASSOCIATES, LTD. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2019 050398438 2021-08-12 JEFFERSON DENTAL ASSOCIATES, LTD. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2018 050398438 2020-04-21 JEFFERSON DENTAL ASSOCIATES, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 050398438 2019-06-12 JEFFERSON DENTAL ASSOCIATES, LTD. 14
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 050398438 2019-06-12 JEFFERSON DENTAL ASSOCIATES, LTD. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2016 050398438 2019-06-12 JEFFERSON DENTAL ASSOCIATES, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
JEFFERSON DENTAL ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2016 050398438 2018-08-14 JEFFERSON DENTAL ASSOCIATES, LTD. 12
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/14/20170814105923P040083320375001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/08/01/20160801132537P030059717351001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Plan administrator’s name and address
Administrator’s EIN 050398438
Plan administrator’s name JEFFERSON DENTAL ASSOCIATES, LTD.
Plan administrator’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855
Administrator’s telephone number 4017392350
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/14/20150814064052P040009944337001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Signature of
Role Plan administrator
Date 2015-08-14
Name of individual signing MELVIN E. HANZEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/14/20140814081633P040027342031001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Plan administrator’s name and address
Administrator’s EIN 050398438
Plan administrator’s name JEFFERSON DENTAL ASSOCIATES, LTD.
Plan administrator’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855
Administrator’s telephone number 4017392350

Signature of
Role Plan administrator
Date 2014-08-14
Name of individual signing MELVIN E. HANZEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/14/20130814151315P040016821442001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Plan administrator’s name and address
Administrator’s EIN 050398438
Plan administrator’s name JEFFERSON DENTAL ASSOCIATES, LTD.
Plan administrator’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855
Administrator’s telephone number 4017392350

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing MELVIN E. HANZEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/15/20120815113948P030030758242001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Plan administrator’s name and address
Administrator’s EIN 050398438
Plan administrator’s name JEFFERSON DENTAL ASSOCIATES, LTD.
Plan administrator’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855
Administrator’s telephone number 4017392350

Signature of
Role Plan administrator
Date 2012-08-15
Name of individual signing MELVIN E. HANZEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/15/20110815122136P040115720753001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-11-01
Business code 621210
Sponsor’s telephone number 4017392350
Plan sponsor’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855

Plan administrator’s name and address
Administrator’s EIN 050398438
Plan administrator’s name JEFFERSON DENTAL ASSOCIATES, LTD.
Plan administrator’s address 222 JEFFERSON BOULEVARD, WARWICK, RI, 028883855
Administrator’s telephone number 4017392350

Signature of
Role Plan administrator
Date 2011-08-15
Name of individual signing MELVIN E. HANZEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOEL K. GERSTENBLATT, ESQ. Agent 122 NANCI KAREN DRIVE, WARWICK, RI, 02886, USA

SECRETARY

Name Role Address
MELVIN E. HANZEL DMD SECRETARY 165 D AGNILLO DRIVE EAST GREENWICH, RI 02818 USA

PRESIDENT

Name Role Address
MELVIN E HANZEL DMD PRESIDENT 165 D'AGNILLO DRIVE EAST GREENWICH, RI 02818 USA

DIRECTOR

Name Role Address
MELVIN E. HANZEL DMD DIRECTOR 165 D AGNILLO DRIVE EAST GREENWICH, RI 02818 USA

TREASURER

Name Role Address
MELVIN E. HANZEL DMD TREASURER 165 D AGNILLO DRIVE EAST GREENWICH, RI 02818 USA

Events

Type Date Old Value New Value
Name Change 1993-12-06 Melvin E. Hanzel, D.M.D., LTD. JEFFERSON DENTAL ASSOCIATES, LTD.

Filings

Number Name File Date
202445414930 Annual Report 2024-02-02
202327264350 Annual Report 2023-02-02
202209608870 Annual Report 2022-02-07
202196233330 Statement of Change of Registered Office by the Registered Agent 2021-05-06
202186094510 Annual Report 2021-01-14
202033518510 Annual Report 2020-01-31
201984773980 Annual Report 2019-01-19
201856157670 Annual Report 2018-01-15
201729865950 Annual Report 2017-01-10
201690415550 Annual Report 2016-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9002217210 2020-04-28 0165 PPP 222 JEFFERSON BLVD, WARWICK, RI, 02888-3847
Loan Status Date 2021-04-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47585
Loan Approval Amount (current) 47585
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WARWICK, KENT, RI, 02888-3847
Project Congressional District RI-02
Number of Employees 2
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 48001.37
Forgiveness Paid Date 2021-03-16
4505168508 2021-02-26 0165 PPS 222 Jefferson Blvd, Warwick, RI, 02888-3847
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42645
Loan Approval Amount (current) 42645
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Warwick, KENT, RI, 02888-3847
Project Congressional District RI-02
Number of Employees 2
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 42896.13
Forgiveness Paid Date 2021-10-04

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Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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