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Maxillofacial Surgeons, Ltd.

Company Details

Name: Maxillofacial Surgeons, Ltd.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 26 Dec 1991 (33 years ago)
Date of Dissolution: 28 Mar 2014 (11 years ago)
Date of Status Change: 28 Mar 2014 (11 years ago)
Identification Number: 000066321
ZIP code: 02888
County: Kent County
Purpose: ENGAGING IN THE RENDERING OF SERVICES OF ORAL AND MAXILLOFACIAL SURGEONS.
Fictitious names: MSL Facial & Oral Surgery (trading name, 2004-06-09 - )
Historical names: MSI Supply, Inc.
Principal Address: Google Maps Logo 243 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA

Agent

Name Role Address
JENNY C. WILLIFORD, ESQ. Agent TATE LATHAM & DURANT LLC 321 SOUTH MAIN STREET, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ATNHONY PETITO DDS PRESIDENT 30 BOW STREET EAST GREENWICH, RI 02818- USA

National Provider Identifier

NPI Number:
1972579183

Authorized Person:

Name:
DR. ANTHONY R PETITO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
Yes

Contacts:

Fax:
4017381550

Form 5500 Series

Employer Identification Number (EIN):
050462827
Plan Year:
2019
Number Of Participants:
12
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 1992-01-03 MSI Supply, Inc. Maxillofacial Surgeons, Ltd.

Filings

Number Name File Date
201437932960 Articles of Dissolution 2014-03-28
201297829930 Revocation Certificate For Failure to File the Annual Report for the Year 2012-09-14
201293007080 Revocation Notice For Failure to File An Annual Report 2012-05-23
201184959850 Statement of Change of Registered/Resident Agent 2011-11-09
201174825310 Annual Report 2011-02-11

USAspending Awards / Financial Assistance

Date:
2009-07-10
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
200000.00
Total Face Value Of Loan:
0.00

Date of last update: 18 May 2025

Sources: Rhode Island Department of State