Name: | Tammy J. Clifford, DDS, a Professional Service Corporation |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 25 May 2005 (20 years ago) |
Date of Dissolution: | 30 Dec 2020 (4 years ago) |
Date of Status Change: | 30 Dec 2020 (4 years ago) |
Identification Number: | 000148151 |
ZIP code: | 02828 |
County: | Providence County |
Principal Address: | 445 PUTNAM PIKE, GREENVILLE, RI, 02828, USA |
Purpose: | ENGAGE IN THE GENERAL PRACTICE OF DENTISTRY |
Fictitious names: |
Affordable Dentures - Providence (trading name, 2005-05-25 - ) |
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 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104964063 | 2007-02-02 | 2020-08-22 | 445 PUTNAM PIKE, GREENVILLE, RI, 028282430, US | 445 PUTNAM PIKE, GREENVILLE, RI, 028282430, US | |||||||||||||||||
|
Phone | +1 401-231-4407 |
Authorized person
Name | DR. TAMMY J. CLIFFORD |
Role | OWNER |
Phone | 4012314407 |
Taxonomy
Taxonomy Code | 122300000X - Dentist |
License Number | 02777 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NATIONAL REGISTERED AGENTS, INC. | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
Name | Role | Address |
---|---|---|
TAMMY CLIFFORD DDS | PRESIDENT | 445 PUTNAM PIKE GREENVILLE, RI 02828 USA |
Name | Role | Address |
---|---|---|
TAMMY CLIFFORD DDS | TREASURER | 445 PUTNAM PIKE GREENVILLE, RI 02828 USA |
Name | Role | Address |
---|---|---|
TAMMY CLIFFORD DDS | SECRETARY | 445 PUTNAM PIKE GREENVILLE, RI 02828 USA |
Number | Name | File Date |
---|---|---|
202082855080 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-30 |
202055041290 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
201921237500 | Annual Report | 2019-09-23 |
201907059300 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
201858981570 | Annual Report | 2018-02-25 |
201730773080 | Annual Report | 2017-01-25 |
201692352880 | Annual Report | 2016-02-12 |
201555733120 | Annual Report | 2015-02-25 |
201435178270 | Annual Report | 2014-02-06 |
201324091790 | Statement of Change of Registered Office by the Registered Agent | 2013-06-17 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State