| Name: | Coventry Orthodontics, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Nov 2008 (16 years ago) |
| Identification Number: | 000487549 |
| ZIP code: | 02816 |
| County: | Kent County |
| Principal Address: | 2435 NOOSENECK HILL ROAD, COVENTRY, RI, 02816, USA |
| Mailing Address: | 360 KENT DRIVE, EAST GREENWICH, RI, 02818, USA |
| Purpose: | ORTHODONTIC OFFICE |
| Historical names: |
Coventry Orthodontic, LLC |
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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124263884 | 2008-12-10 | 2008-12-10 | 2435 NOOSENECK HILL RD, COVENTRY, RI, 02816, US | 2435 NOOSENECK HILL RD, COVENTRY, RI, 02816, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-397-9400 |
| Fax | 4013979402 |
Authorized person
| Name | DR. JOHN S KACEWICZ |
| Role | ORTHODONTIST |
| Phone | 4018846500 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 1716 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 2642 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 3001 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ARTHUR J. LEONARD, ESQ. | Agent | 272 WEST EXCHANGE STREET SUITE 001, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| BRAD J TURCHETTA | Manager | 360 KENT DRIVE EAST GREENWICH, RI 02818 USA |
| JOHN S. KACEWICZ DMD | Manager | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2008-12-10 | Coventry Orthodontic, LLC | Coventry Orthodontics, LLC |
| Number | Name | File Date |
|---|---|---|
| 202453083720 | Annual Report | 2024-04-29 |
| 202446244130 | Statement of Change of Registered/Resident Agent Office | 2024-02-13 |
| 202340088830 | Annual Report | 2023-08-02 |
| 202337518270 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202214235050 | Annual Report | 2022-04-07 |
| 202207743050 | Annual Report | 2022-01-07 |
| 202106394920 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202076134490 | Annual Report | 2020-11-18 |
| 202066913520 | Statement of Change of Registered/Resident Agent Office | 2020-10-21 |
| 202064507460 | Registered Office Not Maintained | 2020-09-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3259687307 | 2020-04-29 | 0165 | PPP | 2435 Nooseneck Hill Rd, Coventry, RI, 02816 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4997218407 | 2021-02-07 | 0165 | PPS | 2435 Nooseneck Hill Rd, Coventry, RI, 02816-6840 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
