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ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.

Company Details

Name: ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 29 Jun 1979 (46 years ago)
Identification Number: 000035047
ZIP code: 02920
County: Providence County
Principal Address: 30 CHAPEL VIEW BOULEVARD SUITE 240, CRANSTON, RI, 02920, USA
Purpose: ORAL AND MAXILLOFACIAL SURGERY
NAICS: 621210 - Offices of Dentists
Fictitious names: Stephen T. Skoly, Jr., DMD & ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY (trading name, 2007-11-20 - )
Historical names: JOSEPH G. SAMARTANO, JR., D.D.S., Ltd.
CRANSTON ORAL SURGERY ASSOCIATES, LTD
AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386812816 2008-02-19 2008-03-03 989 RESERVOIR AVE, CRANSTON, RI, 029105138, US 989 RESERVOIR AVE, CRANSTON, RI, 029105138, US

Contacts

Phone +1 401-944-0397
Fax 4019443164

Authorized person

Name DR. STEPHEN T. SKOLY JR.
Role ORAL SURGERON
Phone 4019440397

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DEN02320
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2023 050382833 2024-09-26 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2022 050382833 2023-09-05 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2021 050382833 2022-07-19 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2020 050382833 2021-10-01 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2019 050382833 2020-10-13 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. CASH BALANCE PENSION PLAN 2018 050382833 2019-05-07 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2018 050382833 2019-09-10 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2017 050382833 2018-08-16 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 9
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. CASH BALANCE PENSION PLAN 2017 050382833 2018-10-04 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, LTD. PROFIT SHARING PLAN 2017 050382833 2018-10-03 ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/24/20170824101748P040088599501001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/25/20170725131917P030064659265001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/15/20160715104511P040035399777001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/03/20161003133819P030004242781001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015113142P030047059095001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015115906P040046453831001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 30 CHAPAL VIEW BOULEVARD, SUITE 240, CRANSTON, RI, 02920

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015094716P030020733229001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015093902P030004278197001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015131425P040039819619001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015132559P030047469665001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012145956P030006075121001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/11/20120911132124P040049032290001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2012-09-11
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/04/20111004130333P030142249665001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2011-10-04
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/03/20111003142605P030020830594001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2011-10-03
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/25/20101025083511P070000184549001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2010-10-25
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/23/20100623114736P040333603009001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1979-07-11
Business code 621111
Sponsor’s telephone number 4019440397
Plan sponsor’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050382833
Plan administrator’s name ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD
Plan administrator’s address 989 RESERVOIR AVENUE, MEDICAL ARTS BUILDING, CRANSTON, RI, 02920
Administrator’s telephone number 4019440397

Signature of

Role Plan administrator
Date 2010-06-23
Name of individual signing STEPHEN SKOLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN J. DIGIANFILIPPO, ESQ. Agent 50 PARK ROW WEST SUITE 107, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
STEPHEN T. SKOLY JR. PRESIDENT 30 CHAPEL VIEW BOULEVARD, SUITE 240 CRANSTON, RI 02920 USA

Events

Type Date Old Value New Value
Name Change 2007-11-20 AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD. ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.
Merged 1997-12-30 STEPHEN N. BAKIOS, LTD. on ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.
Name Change 1997-03-25 CRANSTON ORAL SURGERY ASSOCIATES, LTD AFFILIATES IN ORAL AND MAXILLOFACIAL SURGERY, LTD.
Name Change 1991-05-28 JOSEPH G. SAMARTANO, JR., D.D.S., Ltd. CRANSTON ORAL SURGERY ASSOCIATES, LTD

Filings

Number Name File Date
202454559800 Annual Report 2024-05-02
202453898810 Statement of Change of Registered Office by the Registered Agent 2024-05-02
202336654780 Annual Report 2023-06-07
202217990820 Annual Report 2022-05-31
202192645830 Annual Report 2021-02-23
202036118690 Annual Report 2020-03-09
201985870200 Annual Report 2019-02-01
201858191870 Annual Report 2018-02-09
201737258670 Annual Report 2017-03-02
201692389570 Annual Report 2016-02-12

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State