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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

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

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 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 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 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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8000017309 2020-05-01 0165 PPP 1 RICHMOND SQ STE 166W, PROVIDENCE, RI, 02906-5165
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89272
Loan Approval Amount (current) 89272
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02906-5165
Project Congressional District RI-01
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90035.09
Forgiveness Paid Date 2021-03-10
3723478500 2021-02-24 0165 PPS 1 Richmond Sq Ste 166W, Providence, RI, 02906-5121
Loan Status Date 2021-08-27
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 128497.88
Loan Approval Amount (current) 128497.88
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65657
Servicing Lender Name BankNewport
Servicing Lender Address 10 Washington Sq, NEWPORT, RI, 02840-2948
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02906-5121
Project Congressional District RI-01
Number of Employees 8
NAICS code 621210
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 65657
Originating Lender Name BankNewport
Originating Lender Address NEWPORT, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 128944.98
Forgiveness Paid Date 2021-07-06

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State