| Name: | Updike Dental Services Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Jan 2000 (25 years ago) |
| Date of Dissolution: | 06 Nov 2014 (10 years ago) |
| Date of Status Change: | 06 Nov 2014 (10 years ago) |
| Identification Number: | 000110632 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 29 UPDIKE AVENUE, WICKFORD, RI, 02852, USA |
| Purpose: | THE PRACTICE OF DENTISTRY. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558431767 | 2006-11-08 | 2020-08-22 | 29 UPDIKE AVE, WICKFORD, RI, 02852, US | 29 UPDIKE AVE, N KINGSTOWN, RI, 028525728, US | |||||||||||||||
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| Phone | +1 401-295-1992 |
Authorized person
| Name | CONSTANCE M COUSINS |
| Role | PRESIDENT |
| Phone | 4012951992 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONSTANCE M. COUSINS, D.D.S. RETIREMENT PLAN | 2013 | 050509037 | 2014-05-22 | UPDIKE DENTAL SERVICES, INC. | 2 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-05-22 |
| Name of individual signing | CONSTANCE COUSINS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4012951992 |
| Plan sponsor’s address | 29 UPDIKE AVENUE, NORTH KINGSTOWN, RI, 02852 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-04 |
| Name of individual signing | CONSTANCE COUSINS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4012951992 |
| Plan sponsor’s address | 465 POTTER ROAD, N. KINGSTOWN, RI, 02852 |
Plan administrator’s name and address
| Administrator’s EIN | 050509037 |
| Plan administrator’s name | CONSTANCE M. COUSINS, D.D.S. |
| Plan administrator’s address | 465 POTTER ROAD, NORTH KINGSTOWN, RI, 028521647 |
| Administrator’s telephone number | 4012951992 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-28 |
| Name of individual signing | CONSTANCE COUSINS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CONSTANCE M. COUSINS D.D.S. | Agent | 29 UPDIKE AVENUE, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| CONSTANCE M COUSINS | PRESIDENT | 465 POTTER ROAD NORTH KINGSTOWN, RI 02852- USA |
| Number | Name | File Date |
|---|---|---|
| 201449494490 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-11-06 |
| 201439472130 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201309919680 | Annual Report | 2013-01-17 |
| 201287507750 | Annual Report | 2012-01-04 |
| 201174887930 | Annual Report | 2011-02-14 |
| 200955654640 | Annual Report | 2009-12-27 |
| 200939886070 | Annual Report | 2009-01-04 |
| 200805731130 | Annual Report | 2008-01-14 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
