| Name: | BAYSIDE DENTAL INCORPORATED |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Feb 1997 (28 years ago) |
| Date of Dissolution: | 29 Jul 2021 (3 years ago) |
| Date of Status Change: | 29 Jul 2021 (3 years ago) |
| Identification Number: | 000093843 |
| ZIP code: | 02809 |
| County: | Bristol County |
| Principal Address: | 15 GOODING AVENUE SUITE 1, BRISTOL, RI, 02809, USA |
| Purpose: | DENTAL PRACTICE. |
| NAICS: | 621210 - Offices of Dentists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942323621 | 2007-04-09 | 2020-08-22 | 15 GOODING AVE, SUITE 1, BRISTOL, RI, 028092600, US | 15 GOODING AVE, SUITE 1, BRISTOL, RI, 028092600, US | |||||||||||||||||||
|
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| Phone | +1 401-253-3781 |
| Fax | 4012539324 |
Authorized person
| Name | DR. PAUL M KOTUBY JR. |
| Role | DENTIST |
| Phone | 4012533781 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DEN01874 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAUL M. KOTUBY JR. | Agent | 15 GOODING AVENUE SUITE 1, BRISTOL, RI, 02809, USA |
| Name | Role | Address |
|---|---|---|
| PAUL M KOTUBY D.M.D. JR. | PRESIDENT | PO BOX 178 BRISTOL, RI 02809- USA |
| Number | Name | File Date |
|---|---|---|
| 202100988620 | Registered Office Not Maintained | 2021-09-03 |
| 202199640540 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196780140 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202030986970 | Annual Report | 2020-01-02 |
| 202030985720 | Statement of Change of Registered/Resident Agent | 2020-01-02 |
| 201918936210 | Annual Report - Amended | 2019-09-11 |
| 201883404020 | Annual Report | 2018-12-30 |
| 201855711620 | Annual Report | 2018-01-05 |
| 201729636370 | Annual Report | 2017-01-06 |
| 201690533650 | Annual Report | 2016-01-14 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
