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  5. PEZZA ORTHODONTICS, INC.

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
NAICS: 621210 - Offices of Dentists
Historical names: JOSEPH E. PEZZA, D.D.S., INC.

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

Related by officers

RAYMOND R. PEZZA

AIR-BOR, INC. ALLSTATE AUTO SALES & COLLISION SERVICE INC. ALME AUTO BODY & SALES, INC. Bella Advertising & Fashions Inc. C.P.H. REALTY COMPANY, INC. Citizen's Auto Body, Inc. CRANSTON PLUMBING & HEATING, INC. FLASH INDUSTRIES, INC. D. & F. CONSTRUCTION CO., INC. T.K.'S LOUNGE, INC.

GREGORY PEZZA

Rhode Island Association of Orthodontists LAUREL WOOD PROPERTY OWNERS ASSOCIATION, INC. VOLMAR CONSTRUCTION INC.

Related by address

1220 PONTIAC AVENUE, CRANSTON, RI, 02920, USA

JSR Accounting, Inc. Rhode Island Association of Orthodontists Jerast Realty, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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