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  5. Oral Surgery Services, Inc.

Oral Surgery Services, Inc.

Company Details

Name: Oral Surgery Services, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 28 Jun 1973 (52 years ago)
Identification Number: 000020345
ZIP code: 02864
County: Providence County
Principal Address: 2176 MENDON RD. SUITE 1000, CUMBERLAND, RI, 02864, USA
Purpose: ORAL SURGERY
NAICS: 621210 - Offices of Dentists
Historical names: ROBERT M. SHOLLER, D.M.D., AND JOHN C. FIGLIOLINI, D.M.D., INCORPORATED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740451020 2008-03-14 2008-03-14 20 CUMBERLAND HILL RD, SUITE 101, WOONSOCKET, RI, 028954854, US 20 CUMBERLAND HILL RD, SUITE 101, WOONSOCKET, RI, 028954854, US

Contacts
Phone +1 401-769-1200
Fax 4017691204

Authorized person
Name DR. JOHN C FIGLIOLINI
Role PRESIDENT
Phone 4017691200

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2023 050351818 2024-09-24 ORAL SURGERY SERVICES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 2176 MENDON ROAD, SUITE 1000, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing E. JOSEPH DOMINGO
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2022 050351818 2023-09-19 ORAL SURGERY SERVICES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 2176 MENDON ROAD, SUITE 1000, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2023-09-19
Name of individual signing E. JOSEPH DOMINGO
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2021 050351818 2022-10-05 ORAL SURGERY SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 2176 MENDON ROAD, SUITE 1000, CUMBERLAND, RI, 02864

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing E. JOSEPH DOMINGO
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2013 050351818 2014-07-30 ORAL SURGERY SERVICES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing E. JOSEPH DOMINGO, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2012 050351818 2014-03-24 ORAL SURGERY SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854

Signature of
Role Plan administrator
Date 2014-03-24
Name of individual signing E. JOSEPH DOMINGO, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2011 050351818 2013-03-19 ORAL SURGERY SERVICES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854

Plan administrator’s name and address
Administrator’s EIN 050351818
Plan administrator’s name ORAL SURGERY SERVICES, INC.
Plan administrator’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854
Administrator’s telephone number 4017691200

Signature of
Role Plan administrator
Date 2013-03-19
Name of individual signing E. JOSEPH DOMINGO, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2010 050351818 2012-01-18 ORAL SURGERY SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854

Plan administrator’s name and address
Administrator’s EIN 050351818
Plan administrator’s name ORAL SURGERY SERVICES, INC.
Plan administrator’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854
Administrator’s telephone number 4017691200

Signature of
Role Plan administrator
Date 2012-01-18
Name of individual signing E. JOSEPH DOMINGO, D.D.S.
Valid signature Filed with authorized/valid electronic signature
ORAL SURGERY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2009 050351818 2011-03-17 ORAL SURGERY SERVICES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621210
Sponsor’s telephone number 4017691200
Plan sponsor’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854

Plan administrator’s name and address
Administrator’s EIN 050351818
Plan administrator’s name ORAL SURGERY SERVICES, INC.
Plan administrator’s address 20 CUMBERLAND HILL ROAD, UNIT 101, WOONSOCKET, RI, 028954854
Administrator’s telephone number 4017691200

Signature of
Role Plan administrator
Date 2011-03-17
Name of individual signing E. JOSEPH DOMINGO, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
E.J. DOMINGO Agent 2176 MENDON ROAD SUITE 1000, CUMBERLAND, RI, 02864, USA

PRESIDENT

Name Role Address
E. JOSEPH DOMINGO DDS PRESIDENT 40 GREENWOOD LN SMITHFIELD, RI 02917 USA

TREASURER

Name Role Address
E. JOSEPH DOMINGO DDS TREASURER 40 GREENWOOD LN SMITHFIELD, RI 02917 USA

SECRETARY

Name Role Address
FREDERICK A HARTMAN DMD SECRETARY 18 GREAT RD BARRINGTON, RI 02806 USA

VICE PRESIDENT

Name Role Address
FREDERICK A HARTMAN DMD VICE PRESIDENT 18 GREAT RD BARRINGTON, RI 02806 USA

OTHER OFFICER

Name Role Address
E JOSEPH DOMINGO OTHER OFFICER 2176 MENDON RD. CUMBERLAND, RI 02864 UNI

DIRECTOR

Name Role Address
FREDERICK A HARTMAN DMD DIRECTOR 18 GREAT RD BARRINGTON, RI 02806 USA
E. JOSEPH DOMINGO DDS DIRECTOR 40 GREENWOOD LN SMITHFIELD, RI 02917 USA

Events

Type Date Old Value New Value
Name Change 1981-03-31 ROBERT M. SHOLLER, D.M.D., AND JOHN C. FIGLIOLINI, D.M.D., INCORPORATED Oral Surgery Services, Inc.

Filings

Number Name File Date
202445701580 Annual Report 2024-02-06
202326509650 Annual Report 2023-01-24
202214041930 Annual Report 2022-04-06
202214082050 Statement of Change of Registered/Resident Agent 2022-04-06
202213528630 Revocation Notice For Failure to Maintain a Registered Office 2022-03-28
202213423070 Registered Office Not Maintained 2022-01-24
202184325580 Annual Report 2021-01-05
202030953530 Annual Report 2020-01-02
201883278810 Annual Report 2018-12-27
201856145910 Annual Report 2018-01-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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