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East Bay Oral Surgery, Inc.

Company Details

Name: East Bay Oral Surgery, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 14 Mar 2003 (22 years ago)
Date of Dissolution: 01 Nov 2024 (7 months ago)
Date of Status Change: 01 Nov 2024 (7 months ago)
Identification Number: 000130650
ZIP code: 02914
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF DENTISTRY, ORAL AND MAXILLOFACIAL SURGERY
Principal Address: Google Maps Logo 2224 PAWTUCKET AVE, EAST PROVIDENCE, RI, 02914, USA

Contact Details

Phone +1 401-435-4240

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

Agent

Name Role Address
R. JEFFREY KNISLEY Agent 10 WEYBOSSET STREET SUITE 800, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
STEPHEN N. BAKIOS TREASURER 2224 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA

SECRETARY

Name Role Address
STEPHEN N. BAKIOS SECRETARY 2224 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA

PRESIDENT

Name Role Address
STEPHEN N BAKIOS PRESIDENT 2224 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914- USA

DIRECTOR

Name Role Address
STEPHEN N. BAKIOS DIRECTOR 2224 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA

National Provider Identifier

NPI Number:
1285692731

Authorized Person:

Name:
DR. STEPHEN NICHOLAS BAKIAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
4014354245

Form 5500 Series

Employer Identification Number (EIN):
043746687
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
DEF0993 Dental X-ray Facility Active 2024-08-27 2025-08-31
DFP01686 Dental Anesthesia Facility Active 1996-03-18 2026-04-01

Filings

Number Name File Date
202446995870 Annual Report 2024-02-20
202329725840 Annual Report 2023-02-27
202209673490 Annual Report 2022-02-08
202186128530 Annual Report 2021-01-12
201930706310 Annual Report 2019-12-26

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 21 May 2025

Sources: Rhode Island Department of State