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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
Historical names: ROBERT M. SHOLLER, D.M.D., AND JOHN C. FIGLIOLINI, D.M.D., INCORPORATED

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

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
E. JOSEPH DOMINGO PRESIDENT 2176 MENDON RD, CUMBERLAND, RI 02864 UNI

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8106217101 2020-04-15 0165 PPP 2176 Mendon Rd 1000, Cumberland, RI, 02864
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 178700
Loan Approval Amount (current) 178700
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 Cumberland, PROVIDENCE, RI, 02864-0001
Project Congressional District RI-01
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 181074.51
Forgiveness Paid Date 2021-08-26

Related by officers

E. JOSEPH DOMINGO

Rhode Island Association of Oral and Maxillofacial Surgeons

Related by address

No related companies by address

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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