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PEZZA ORTHODONTICS, INC.

Company Details

Name: PEZZA ORTHODONTICS, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 06 May 1976 (49 years ago)
Identification Number: 000017877
ZIP code: 02920
County: Providence County
Principal Address: 1220 PONTIAC AVENUE, CRANSTON, RI, 02920, USA
Purpose: DENTISTRY
Historical names: JOSEPH E. PEZZA, D.D.S., INC.

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801048798 2008-10-22 2008-10-22 1220 PONTIAC AVE, CRANSTON, RI, 029204456, US 1220 PONTIAC AVE, CRANSTON, RI, 029204456, US

Contacts

Phone +1 401-943-4111
Fax 4019435221

Authorized person

Name DR. JOSEPH EDWARD PEZZA
Role ORTHODONTIST
Phone 4019434111

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEZZA ORTHODONTICS 401(K) PLAN 2023 050366888 2024-03-04 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
PEZZA ORTHODONTICS 401(K) PLAN 2022 050366888 2023-02-16 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
PEZZA ORTHODONTICS 401(K) PLAN 2021 050366888 2022-03-18 PEZZA ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
PEZZA ORTHODONTICS 401(K) PLAN 2020 050366888 2021-03-27 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
PEZZA ORTHODONTICS 401(K) PLAN 2019 050366888 2020-03-13 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050366888
Plan administrator’s name JOSEPH E. PEZZA, D.D.S., M.SC.D.
Plan administrator’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019434111
PEZZA ORTHODONTICS 401(K) PLAN 2018 050366888 2019-03-07 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050366888
Plan administrator’s name JOSEPH E. PEZZA, D.D.S., M.SC.D.
Plan administrator’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019434111
PEZZA ORTHODONTICS 401(K) PLAN 2017 050366888 2018-04-02 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050366888
Plan administrator’s name JOSEPH E. PEZZA, D.D.S., M.SC.D.
Plan administrator’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019434111
PEZZA ORTHODONTICS 401(K) PLAN 2016 050366888 2017-05-08 PEZZA ORTHODONTICS 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050366888
Plan administrator’s name JOSEPH E. PEZZA, D.D.S., M.SC.D.
Plan administrator’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019434111
PEZZA ORTHODONTICS 401(K) PLAN 2015 050366888 2016-04-12 PEZZA ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4019434111
Plan sponsor’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050366888
Plan administrator’s name JOSEPH E. PEZZA, D.D.S., M.SC.D.
Plan administrator’s address 1220 PONTIAC AVENUE, CRANSTON, RI, 02920
Administrator’s telephone number 4019434111

Agent

Name Role Address
RAYMOND R. PEZZA Agent 1220 PONTIAC AVENUE SUITE 203, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
GREGORY PEZZA PRESIDENT 1220 PONTIAC AVENUE CRANSTON, RI 02920 USA

Events

Type Date Old Value New Value
Name Change 2015-04-15 JOSEPH E. PEZZA, D.D.S., INC. PEZZA ORTHODONTICS, INC.

Filings

Number Name File Date
202446612010 Annual Report 2024-02-12
202328384110 Annual Report 2023-02-08
202211003580 Annual Report 2022-02-15
202187724290 Annual Report 2021-01-25
202033466820 Annual Report 2020-01-30
201985845370 Annual Report 2019-01-31
201856454580 Annual Report 2018-01-18
201730496240 Annual Report 2017-01-19
201692058430 Annual Report 2016-02-05
201558360440 Articles of Amendment 2015-04-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4096948308 2021-01-22 0165 PPS 1220 Pontiac Ave, Cranston, RI, 02920-4456
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 80732
Loan Approval Amount (current) 80732
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cranston, PROVIDENCE, RI, 02920-4456
Project Congressional District RI-02
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 81172.16
Forgiveness Paid Date 2021-08-16
9152737306 2020-05-01 0165 PPP 1220 Pontiac Ave,, Cranston, RI, 02920
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69700
Loan Approval Amount (current) 69700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Cranston, PROVIDENCE, RI, 02920-0001
Project Congressional District RI-02
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70412.28
Forgiveness Paid Date 2021-05-13

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State