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  5. William B. Chan, D.M.D., Inc.

William B. Chan, D.M.D., Inc.

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Company Details

Name: William B. Chan, D.M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 11 May 1990 (35 years ago)
Date of Dissolution: 25 Nov 2024 (8 months ago)
Date of Status Change: 25 Nov 2024 (8 months ago)
Identification Number: 000060418
ZIP code: 02864
City: Cumberland
County: Providence County
Purpose: PEDIATRIC DENTIST
Principal Address: Google Maps Logo 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA

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

Agent

Name Role Address
EDWARD F. YAZBAK Agent 501 GREAT ROAD UNIT 106, NORTH SMITHFIELD, RI, 02896, USA

PRESIDENT

Name Role Address
WILLIAM B CHAN PRESIDENT 2359 MENDON ROAD CUMBERLAND, RI 02864 USA

National Provider Identifier

NPI Number:
1861554347
Link:
View on NPI website

Authorized Person:

Name:
DR. WILLIAM B CHAN
Role:
PRESIDENT
Phone:
4013343070

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 401-334-3070
Fax:
4013349031

Form 5500 Series

Employer Identification Number (EIN):
050453017
Plan Year:
2020
Number Of Participants:
18
Sponsor's telephone number:
4013343070
File:
View File
Plan Year:
2019
Number Of Participants:
11
Plan Name:
CASH BALANCE
Sponsor's telephone number:
4013343070
File:
View File
Plan Year:
2019
Number Of Participants:
17
Sponsor's telephone number:
4013343070
File:
View File
Plan Year:
2018
Number Of Participants:
13
Sponsor's telephone number:
4013343070
File:
View File
Plan Year:
2018
Number Of Participants:
12
Plan Name:
CASH BALANCE
Sponsor's telephone number:
4013343070
File:
View File

Filings

Number Name File Date
202444180340 Annual Report 2024-01-18
202327375470 Annual Report 2023-02-03
202219923420 Statement of Change of Registered/Resident Agent 2022-06-23
202212802380 Annual Report 2022-03-07
202198606240 Annual Report 2021-06-22

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202023363870
Filing Date:
2020-07-29
Action:
InitialFiling

Parties

Party Name:
William B. Chan, D.M.D., Inc.
Party Role:
Debtor(s)
Party Name:
U.S. SMALL BUSINESS ADMINISTRATION
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-07-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
$0
Face Value Of Loan:
$150,000
Total Face Value Of Loan:
$150,000
Business Type:
SMALL BUSINESS
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$10,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$197,700
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$197,700
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$200,418.38
Servicing Lender:
Navigant CU
Use of Proceeds:
Payroll: $187,000
Utilities: $3,000
Rent: $7,700
Jobs Reported:
17
Initial Approval Amount:
$197,800
Date Approved:
2021-03-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$197,800
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$199,365.92
Servicing Lender:
Navigant CU
Use of Proceeds:
Payroll: $197,796
Utilities: $1

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Date of last update: 08 Jul 2025

Sources: Rhode Island Department of State

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