Rhode Island Periodontics, Inc.

Name: | Rhode Island Periodontics, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 22 Sep 1987 (38 years ago) |
Identification Number: | 000044417 |
ZIP code: | 02919 |
City: | Johnston |
County: | Providence County |
Purpose: | PERIODONTOLOGY |
Fictitious names: |
Rhode Island Periodontics (trading name, 2014-06-13 - ) Edward S. Katz, D.D.S. & Gregory S. Theberge, D.M.D., Inc. (trading name, 2007-10-30 - ) |
Historical names: |
Edward S. Katz, DDS., Inc. Dr. Katz and Dr. Theberge Periodontics, Inc. |
Principal Address: |
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Phone |
+1 401-233-9800 +1 401-521-5312 |
Name | Role | Address |
---|---|---|
JAMES H. HAHN, ESQ. | Agent | 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
GREGORY S. THEBERGE | PRESIDENT | 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
Name | Role | Address |
---|---|---|
CHARLES M PHAM | TREASURER | 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
Name | Role | Address |
---|---|---|
GREGORY S THEBERGE | SECRETARY | 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
Name | Role | Address |
---|---|---|
CHARLES M PHAM | VICE PRESIDENT | 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
Type | Date | Old Value | New Value |
---|---|---|---|
Name Change | 2017-05-30 | Dr. Katz and Dr. Theberge Periodontics, Inc. | Rhode Island Periodontics, Inc. |
Name Change | 1994-11-04 | Edward S. Katz, DDS., Inc. | Dr. Katz and Dr. Theberge Periodontics, Inc. |
License No | License Type | Status | Date Issued | Expiration Date |
---|---|---|---|---|
DEF0530 | Dental X-ray Facility | Active | 1999-07-27 | 2026-08-31 |
DEF0567 | Dental X-ray Facility | Active | 1999-07-27 | 2026-08-31 |
Number | Name | File Date |
---|---|---|
202458743070 | Annual Report - Amended | 2024-08-12 |
202454927960 | Annual Report | 2024-05-28 |
202341979290 | Annual Report - Amended | 2023-09-29 |
202335450220 | Annual Report | 2023-05-09 |
202216764170 | Annual Report | 2022-04-22 |
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Date of last update: 19 Jul 2025
Sources: Rhode Island Department of State