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  5. Oral Maxillofacial Surgeons, Ltd

Oral Maxillofacial Surgeons, Ltd

Company Details

Name: Oral Maxillofacial Surgeons, Ltd
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 23 May 2000 (25 years ago)
Identification Number: 000112627
ZIP code: 02920
County: Providence County
Principal Address: 1265 RESERVOIR AVE, CRANSTON, RI, 02920, USA
Purpose: A PROFESSIONAL CORPORATION ENGAGED IN THE PRACTICE OF DENTAL MEDICINE AND ORAL AND MAXILLOFACIAL SURGERY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457522005 2008-03-21 2022-07-21 1265 RESERVOIR AVE, CRANSTON, RI, 029206060, US 1265 RESERVOIR AVE, CRANSTON, RI, 029206060, US

Contacts
Phone +1 401-464-6406
Fax 4014646466

Authorized person
Name DR. MARTIN T ELSON
Role PRESIDENT
Phone 4014646406

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2016 050511773 2017-07-31 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2015 050511773 2016-06-01 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Signature of
Role Plan administrator
Date 2016-06-01
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-01
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2014 050511773 2015-06-22 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Signature of
Role Plan administrator
Date 2015-06-22
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-22
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2013 050511773 2014-07-16 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-16
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2012 050511773 2013-06-05 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-05
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2011 050511773 2012-07-03 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Plan administrator’s name and address
Administrator’s EIN 050511773
Plan administrator’s name ORAL MAXILLOFACIAL SURGEONS, LTD
Plan administrator’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060
Administrator’s telephone number 4014646406

Signature of
Role Plan administrator
Date 2012-07-03
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-03
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2010 050511773 2011-07-06 ORAL MAXILLOFACIAL SURGEONS, LTD 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Plan administrator’s name and address
Administrator’s EIN 050511773
Plan administrator’s name ORAL MAXILLOFACIAL SURGEONS, LTD
Plan administrator’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060
Administrator’s telephone number 4014646406

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN 2009 050511773 2010-07-07 ORAL MAXILLOFACIAL SURGEONS, LTD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 4014646406
Plan sponsor’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060

Plan administrator’s name and address
Administrator’s EIN 050511773
Plan administrator’s name ORAL MAXILLOFACIAL SURGEONS, LTD
Plan administrator’s address 1265 RESERVOIR AVE, CRANSTON, RI, 029206060
Administrator’s telephone number 4014646406

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing MARTIN ELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADLER POLLOCK & SHEEHAN P.C. Agent ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
MARTIN T ELSON PRESIDENT 1265 RESERVOIR AVE CRANSTON, RI 02920 USA
MARTIN THOMAS ELSON PRESIDENT 1265 RESERVOIR AVE CRANSTON, RI 02920 USA
MARTIN ELSON DDS PRESIDENT 1265 RESERVOIR AVENUE CRANSTON, RI 02920- USA

TREASURER

Name Role Address
MARTIN ELSON DDS TREASURER 1265 RESERVOIR AVENUE CRANSTON, RI 02920 USA

SECRETARY

Name Role Address
MARTIN ELSON DDS SECRETARY 1265 RESERVOIR AVENUE CRANSTON, RI 02920 USA

VICE PRESIDENT

Name Role Address
MARTIN ELSON DDS VICE PRESIDENT 1265 RESERVOIR AVENUE CRANSTON, RI 02920 USA

OTHER OFFICER

Name Role Address
MARTIN T ELSON OTHER OFFICER 1265 RESERVOIR AVE UNI

Filings

Number Name File Date
202454437360 Annual Report 2024-05-16
202338337690 Annual Report - Amended 2023-06-19
202336251510 Annual Report 2023-06-15
202216641660 Annual Report 2022-05-02
202190910110 Annual Report 2021-02-12
202036681130 Annual Report 2020-03-23
201983890930 Annual Report 2019-01-07
201857703920 Annual Report 2018-02-06
201730949250 Annual Report 2017-01-27
201689995290 Annual Report 2016-01-04

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Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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