| Name: | NORTHEAST ORTHODONTIC SPECIALISTS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 17 Oct 2006 (18 years ago) |
| Identification Number: | 000159252 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 8 CREPEAU BOULEVARD, CUMBERLAND, RI, 02864, USA |
| Purpose: | ORTHODONTIC SERVICES |
| NAICS: | 621210 - Offices of Dentists |
| Fictitious names: |
Northeast Orthodontic Specialists (trading name, 2006-10-20 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407095540 | 2009-02-12 | 2009-02-12 | 8 CREPEAU BLVD, CUMBERLAND, RI, 028642107, US | 8 CREPEAU BLVD, CUMBERLAND, RI, 028642107, US | |||||||||||||||||||||||||||
|
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| Phone | +1 401-658-1116 |
| Fax | 4016581117 |
Authorized person
| Name | DR. MATTHEW A ALMEIDA |
| Role | ORTHODONTIST |
| Phone | 4016581116 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1598761884 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1730368390 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRIAN LAPLANTE, ESQ. | Agent | 78 KENWOOD STREET, CRANSTON, RI, 02907, USA |
| Number | Name | File Date |
|---|---|---|
| 202454548570 | Annual Report | 2024-05-20 |
| 202335484900 | Annual Report | 2023-05-10 |
| 202217764520 | Annual Report | 2022-05-24 |
| 202105584070 | Annual Report | 2021-11-30 |
| 202078154090 | Annual Report | 2020-12-01 |
| 202042985590 | Statement of Change of Registered/Resident Agent Office | 2020-06-22 |
| 201928180700 | Annual Report | 2019-11-27 |
| 201881898470 | Annual Report | 2018-11-29 |
| 201753813930 | Annual Report | 2017-11-22 |
| 201628250000 | Annual Report | 2016-11-29 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
