| 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 |
| NAICS: | 621210 - Offices of Dentists |
| Historical names: |
Coventry Orthodontic, LLC |
| 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 | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| 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 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
