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  5. EAST SIDE ENDODONTICS, LLC

EAST SIDE ENDODONTICS, LLC

Company Details

Name: EAST SIDE ENDODONTICS, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 23 Dec 2005 (19 years ago)
Identification Number: 000152596
ZIP code: 02906
County: Providence County
Principal Address: ONE RICHMOND SQUARE SUITE 166W, PROVIDENCE, RI, 02906, USA
Purpose: PRACTICE OF ENDODONTICS
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518906965 2006-06-04 2020-08-22 130 WATERMAN ST, PROVIDENCE, RI, 029062010, US 130 WATERMAN ST, PROVIDENCE, RI, 029062010, US

Contacts
Phone +1 401-521-3746
Fax 4015210037

Authorized person
Name DR. JANET S TANZI
Role OWNER
Phone 4015213746

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
License Number 2173
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST SIDE ENDODONTICS DEFINED BENEFIT PENSION PLAN 2023 203856580 2024-08-08 EAST SIDE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS RETIREMENT PLAN 2023 203856580 2024-10-01 EAST SIDE ENDODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS DEFINED BENEFIT PENSION PLAN 2022 203856580 2023-07-13 EAST SIDE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS RETIREMENT PLAN 2022 203856580 2023-07-13 EAST SIDE ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS DEFINED BENEFIT PENSION PLAN 2021 203856580 2022-04-20 EAST SIDE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS RETIREMENT PLAN 2021 203856580 2022-03-22 EAST SIDE ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS RETIREMENT PLAN 2020 203856580 2021-06-28 EAST SIDE ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS DEFINED BENEFIT PENSION PLAN 2020 203856580 2021-03-20 EAST SIDE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 1 RICHMOND SQUARE, SUITE 166W, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS RETIREMENT PLAN 2019 203856580 2020-03-30 EAST SIDE ENDODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
EAST SIDE ENDODONTICS DEFINED BENEFIT PENSION PLAN 2019 203856580 2020-07-20 EAST SIDE ENDODONTICS 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/05/21/20190521074119P030011449093001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/03/15/20190315154051P040085394989001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/04/20180904092655P030008013365001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/07/20180907110659P040114141981001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/14/20170914150906P040137758039001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/14/20170914145126P040157909633001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 02906
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/26/20160926093536P030011118039001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/26/20160926092919P030000430953001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/24/20150924113457P030014325751001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2015-09-24
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715101706P040093238087001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/23/20140923083416P030005017247001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/23/20140923084001P030005023679001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/22/20130822071855P040360999011001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/21/20130821142816P030458012193001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4015213746
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/16/20120516123012P030000946182001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Plan sponsor’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010

Plan administrator’s name and address
Administrator’s EIN 203856580
Plan administrator’s name EAST SIDE ENDODONTICS
Plan administrator’s address 130 WATERMAN STREET, PROVIDENCE, RI, 029062010
Administrator’s telephone number 4015213746

Signature of
Role Plan administrator
Date 2012-05-16
Name of individual signing JANET TANZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DREW P. KAPLAN, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202453533720 Annual Report 2024-05-01
202330753470 Annual Report 2023-03-14
202214488140 Annual Report 2022-04-12
202101683560 Annual Report 2021-09-17
202066128960 Annual Report 2020-10-19
201925277610 Annual Report 2019-10-25
201877758690 Annual Report 2018-09-19
201750185030 Annual Report 2017-09-21
201609757900 Annual Report 2016-10-03
201581331150 Annual Report 2015-10-02

Related by officers

DREW P. KAPLAN, ESQ.

JOHN ANDRADE INSURANCE AGENCY, INC. Pawtucket Financial Corporation APEX WARWICK INC. CENTRAL ACCEPTANCE CO. TEKNOR COLOR COMPANY GERALD C. FINKELMAN, INC. CHARLES J. DE ANGELIS M.D., LTD. Mellion & Cappuccino, Inc. TRUEX INCORPORATED JBS Enterprises, Ltd.

Related by address

No related companies by address

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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