| Name: | Dental Group of Pawtucket, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Mar 2002 (23 years ago) |
| Identification Number: | 000123437 |
| ZIP code: | 02861 |
| County: | Providence County |
| Principal Address: | 1571 NEWPORT AVENUE SUITE 2, PAWTUCKET, RI, 02861, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF GENERAL DENTISTRY |
NAICS
621210 Offices of DentistsThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740451509 | 2008-03-19 | 2008-03-19 | 1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI, 028611351, US | 1571 NEWPORT AVE, SUITE 2, PAWTUCKET, RI, 028611351, US | |||||||||||||||
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| Phone | +1 401-722-3344 |
| Fax | 4017259755 |
Authorized person
| Name | DR. RAJ V DULALA |
| Role | OWNER |
| Phone | 4017223344 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VENKAT RAJ DULALA | Agent | 1571 NEWPORT AVENUE SUITE 2, PAWTUCKET, RI, 02861, USA |
| Name | Role | Address |
|---|---|---|
| RAJ V. DULALA | PRESIDENT | 1571 NEWPORT AVENUE, SUITE 2 PAWTUCKET, RI 02861 USA |
| Number | Name | File Date |
|---|---|---|
| 202458828830 | Annual Report | 2024-08-14 |
| 202457153690 | Revocation Notice For Failure to File An Annual Report | 2024-06-25 |
| 202222770190 | Annual Report | 2022-09-26 |
| 202221397280 | Annual Report | 2022-07-18 |
| 202220065720 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202184277050 | Annual Report | 2021-01-05 |
| 201929722800 | Annual Report | 2019-12-11 |
| 201883280110 | Annual Report | 2018-12-27 |
| 201860176610 | Annual Report | 2018-03-14 |
| 201739147080 | Annual Report | 2017-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1466878501 | 2021-02-18 | 0165 | PPP | 1571 Newport Ave Unit 2, Pawtucket, RI, 02861-1351 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
