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  5. WARREN DENTAL ASSOCIATES, INC.

WARREN DENTAL ASSOCIATES, INC.

Company Details

Name: WARREN DENTAL ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 08 Oct 1971 (53 years ago)
Identification Number: 000017510
ZIP code: 02885
County: Bristol County
Principal Address: 634 MAIN STREET, WARREN, RI, 02885, USA
Purpose: DENTAL SERVICES TO THE PUBLIC
NAICS: 621210 - Offices of Dentists
Historical names: AUGUSTINE C. RAMOS, D. D. S., INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881756203 2006-12-14 2020-07-22 634 MAIN STREET, WARREN, RI, 02809, US 634 MAIN STREET, WARREN, RI, 02809, US

Contacts
Phone +1 401-245-5825
Fax 4012450936

Authorized person
Name DR. JOHN FRANCIS KERWIN
Role DENTIST
Phone 4012455825

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DEN01871
State RI
Is Primary Yes

Other Provider Identifiers
Issuer UHC
Number 1455 1
State RI
Issuer BCRI
Number 83864
State RI
Issuer MEDICAID
Number W012166
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2021 050345330 2022-04-28 WARREN DENTAL ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 18 DOLLY DRIVE, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2020 050345330 2022-01-18 WARREN DENTAL ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 18 DOLLY DRIVE, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2022-01-18
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-18
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2019 050345330 2021-07-02 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2021-07-02
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-02
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2018 050345330 2020-07-08 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-08
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2017 050345330 2019-07-01 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2016 050345330 2018-06-20 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-20
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2015 050345330 2017-06-21 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-21
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2014 050345330 2016-06-28 WARREN DENTAL ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2013 050345330 2015-07-08 WARREN DENTAL ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
WARREN DENTAL ASSOCIATES, INC. 401(K) PLAN 2012 050345330 2014-06-23 WARREN DENTAL ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Signature of
Role Plan administrator
Date 2014-06-23
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-23
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/01/20130701140008P040283526979001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Plan administrator’s name and address
Administrator’s EIN 050345330
Plan administrator’s name WARREN DENTAL ASSOCIATES, INC.
Plan administrator’s address 634 MAIN STREET, WARREN, RI, 02885
Administrator’s telephone number 4012455825

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-01
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/25/20120625125209P030004256902001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Plan administrator’s name and address
Administrator’s EIN 050345330
Plan administrator’s name WARREN DENTAL ASSOCIATES, INC.
Plan administrator’s address 634 MAIN STREET, WARREN, RI, 02885
Administrator’s telephone number 4012455825

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/26/20100826075627P040047410035001.pdf
Three-digit plan number (PN) 002
Plan sponsor’s mailing address 634 MAIN STREET, WARREN, RI, 02885
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Plan administrator’s name and address
Administrator’s EIN 050345330
Plan administrator’s name WARREN DENTAL ASSOCIATES, INC.
Plan administrator’s address 634 MAIN STREET, WARREN, RI, 02885
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/21/20110621125926P040012073666001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1990-12-14
Business code 621210
Sponsor’s telephone number 4012455825
Plan sponsor’s address 634 MAIN STREET, WARREN, RI, 02885

Plan administrator’s name and address
Administrator’s EIN 050345330
Plan administrator’s name WARREN DENTAL ASSOCIATES, INC.
Plan administrator’s address 634 MAIN STREET, WARREN, RI, 02885
Administrator’s telephone number 4012455825

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing CATHIE KERWIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN F. NEARY, ESQ. Agent 103 COTTAGE STREET, PAWTUCKET, RI, 02860, USA

PRESIDENT

Name Role Address
JOHN F KERWIN PRESIDENT 634 MAIN STREET WARREN, RI 02885 USA

Events

Type Date Old Value New Value
Name Change 1986-09-18 AUGUSTINE C. RAMOS, D. D. S., INC. WARREN DENTAL ASSOCIATES, INC.

Filings

Number Name File Date
202454670550 Annual Report 2024-05-21
202331342600 Annual Report 2023-03-16
202215334400 Annual Report 2022-04-13
202194686660 Annual Report 2021-03-17
202037128490 Annual Report 2020-04-02
201988885940 Annual Report 2019-03-19
201860611670 Annual Report 2018-03-19
201734955770 Annual Report 2017-02-24
201693663750 Annual Report 2016-03-03
201555853710 Annual Report 2015-02-26

Related by officers

JOHN F. NEARY, ESQ.

ANNLYN REALTY, INC. CHARJE, INC. CHARJE REALTY, INC. APPRAISAL CONSULTANTS, LTD. Chuckles Associates Ltd. MR. KLEEN FLOORS INC. VERNARL, INC. JOHN J. NEARY, INC. YORK AVENUE MACHINE & WELDING, INC. JOHN F. NEARY, LTD.

Related by address

634 MAIN STREET, WARREN, RI, 02885, USA

CAEM REALTY, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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