Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Washington County
    4. ›
  4. 02882
    5. ›
  5. PETER J. LODGE, D.M.D., LTD.

PETER J. LODGE, D.M.D., LTD.

Company Details

Name: PETER J. LODGE, D.M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 14 Dec 1995 (29 years ago)
Date of Dissolution: 04 Dec 2024 (4 months ago)
Date of Status Change: 04 Dec 2024 (4 months ago)
Identification Number: 000087244
ZIP code: 02882
County: Washington County
Principal Address: 28 CASWELL STREET, NARRAGANSETT, RI, 02882, USA
Purpose: GENERAL DENTAL PRACTICE

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

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300UM0H87FVE4G559 000087244 US-RI GENERAL ACTIVE No data

Addresses
Legal C/O Peter J. Lodge, Pier Professional Towers, 28 Caswell Street, Narragansett, US-RI, US, 02882
Headquarters C/O Peter J. Lodge, Pier Professional Towers, 28 Caswell Street, Narragansett, US-RI, US, 02882

Registration details
Registration Date 2013-07-16
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-07-16
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 000087244

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2014 050487990 2015-07-27 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-21
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2013 050487990 2014-07-31 PETER J. LODGE, D.M.D., LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2012 050487990 2013-07-29 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2011 050487990 2012-05-01 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-01
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2010 050487990 2011-05-26 PETER J. LODGE, D.M.D., LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-26
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-05 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing JEAN D MAACK
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J. LODGE D.M.D., LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing PETER J LODGE D.M.D., LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/19/20101019133015P070006151335001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing JEAN D. MAACK
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing JEAN D. MAACK
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
PETER J LODGE DMD PRESIDENT 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

TREASURER

Name Role Address
PETER J. LODGE, DMD TREASURER 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

SECRETARY

Name Role Address
PETER J. LODGE, DMD SECRETARY 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

DIRECTOR

Name Role Address
PETER J. LODGE, DMD DIRECTOR 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

Filings

Number Name File Date
202449122570 Annual Report 2024-03-22
202333464120 Annual Report 2023-04-20
202213243010 Statement of Change of Registered/Resident Agent 2022-03-22
202211526160 Annual Report 2022-02-24
202198174000 Annual Report 2021-06-11
202196773520 Revocation Notice For Failure to File An Annual Report 2021-05-19
202073585240 Annual Report 2020-11-09
202054989890 Revocation Notice For Failure to File An Annual Report 2020-09-16
201920923800 Annual Report 2019-09-19
201907001660 Revocation Notice For Failure to File An Annual Report 2019-07-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8260157105 2020-04-15 0165 PPP 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 73900
Loan Approval Amount (current) 73900
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 R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address NARRAGANSETT, WASHINGTON, RI, 02882-0001
Project Congressional District RI-02
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 74669.37
Forgiveness Paid Date 2021-05-13

Related by officers

E. COLBY CAMERON, ESQ.

AC Holdings, Inc. The Chisholm RIP Corp. CHOQUETTE & CO., INC. CHURCH TRAVEL AGENCY, INC. Certified Automotive, Inc. Memorial X-Ray Services, Ltd. Periodontics, Inc. D. L. Thurrott RIP, Inc. Sinel, Wilfand & Vinci, Certified Public Accountants, Inc. O'NEILL MEDICAL, INC.

Related by address

28 CASWELL STREET, NARRAGANSETT, RI, 02882, USA

BETSY ENTERPRISES, INC. EUGENE J. MEROLA, INC. TENNCO INVESTMENTS LLC KENPORT MARINA, LLC Dennis Nabb Memorial Foundation Chestnut Avenue Realty, LLC The O'B Surf Group, Inc. Friends of Narragansett High School Theater, Inc. OHANA PARTNERS, LLC

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated