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  5. WESTERLY DENTAL GROUP, INC.

WESTERLY DENTAL GROUP, INC.

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Company Details

Name: WESTERLY DENTAL GROUP, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Jun 1977 (48 years ago)
Identification Number: 000017290
ZIP code: 02891
City: Westerly
County: Washington County
Purpose: RENDERING PROFESSIONAL DENTAL SERVICES
Principal Address: Google Maps Logo 130 GRANITE STREET, WESTERLY, RI, 02891, USA

Contact Details

Phone +1 401-596-2848

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

Agent

Name Role Address
ANDREW H. DAVIS, JR. ESQ. Agent THE OWEN BUILDING 101 DYER STREET, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MICHAEL B. CAPALBO PRESIDENT 7 SHORELINE DRIVE WESTERLY, RI 02891 USA

National Provider Identifier

NPI Number:
1801097472
Link:
View on NPI website

Authorized Person:

Name:
DR. BRIAN M CAPALBO
Role:
DENTIST
Phone:
4013222848

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 401-595-2848
Fax:
4015962993

Form 5500 Series

Employer Identification Number (EIN):
050373200
Plan Year:
2018
Number Of Participants:
24
Plan Name:
401(K)
Sponsor's telephone number:
4015962848
File:
View File
Plan Administrator / Signatory:
BRIAN CAPALBO(Plan administrator)
BRIAN CAPALBO(Employer/plan sponsor)
Plan Year:
2017
Number Of Participants:
20
Plan Name:
CASH BALANCE
Sponsor's telephone number:
4015962848
File:
View File
Plan Administrator / Signatory:
BRIAN CAPALBO(Plan administrator)
Plan Year:
2017
Number Of Participants:
20
Plan Name:
CASH BALANCE
Sponsor's telephone number:
4015962848
File:
View File
Plan Administrator / Signatory:
BRIAN CAPALBO(Plan administrator)
Plan Year:
2017
Number Of Participants:
23
Plan Name:
401(K)
Sponsor's telephone number:
4015962848
File:
View File
Plan Administrator / Signatory:
BRIAN CAPALBO(Plan administrator)
Plan Year:
2016
Number Of Participants:
22
Plan Name:
401(K)
Sponsor's telephone number:
4015962848
File:
View File
Plan Administrator / Signatory:
BRIAN CAPALBO(Plan administrator)

Licenses

License No License Type Status Date Issued Expiration Date
DFP02704 Dental Anesthesia Facility Active 2024-05-15 2029-05-15
DEF0354 Dental X-ray Facility Active 1999-07-27 2025-08-31

Filings

Number Name File Date
202448424080 Annual Report 2024-03-13
202327439820 Annual Report 2023-02-03
202105263470 Annual Report 2021-11-22
202192125260 Annual Report 2021-02-19
202192135520 Annual Report 2021-02-19

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202531984970
Filing Date:
2025-05-08
Action:
Continuation

Parties

Party Name:
WESTERLY DENTAL GROUP, INC.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202531974160
Filing Date:
2025-05-08
Action:
Continuation

Parties

Party Name:
WESTERLY DENTAL GROUP, INC.
Party Role:
Debtor(s)
Party Name:
AVIDIA BANK
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202531968420
Filing Date:
2025-05-07
Action:
Continuation

Parties

Party Name:
WESTERLY DENTAL GROUP, INC.
Party Role:
Debtor(s)
Party Name:
AVIDIA BANK
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-02-25
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$220,105
Total Face Value Of Loan:
$220,105
Business Type:
SMALL BUSINESS
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$220,104
Total Face Value Of Loan:
$220,104

Paycheck Protection Program

Jobs Reported:
21
Initial Approval Amount:
$220,105
Date Approved:
2021-02-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$220,105
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$221,963.66
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $220,101
Utilities: $1
Jobs Reported:
21
Initial Approval Amount:
$220,104
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$220,104
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$222,775.82
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $220,104

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Date of last update: 07 Jul 2025

Sources: Rhode Island Department of State

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