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CHILDREN'S DENTISTRY OF WESTERLY, LLC

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Company Details

Name: CHILDREN'S DENTISTRY OF WESTERLY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 07 May 2009 (16 years ago)
Date of Dissolution: 29 Mar 2024 (a year ago)
Date of Status Change: 29 Mar 2024 (a year ago)
Identification Number: 000506680
ZIP code: 02891
City: Westerly
County: Washington County
Purpose: PRACTICE OF DENTISTRY AND SPECIALIZING IN PEDIATRIC DENTISTRY
Fictitious names: Children's Dentistry of Westerly & Wakefield (trading name, 2013-09-17 - )
Principal Address: Google Maps Logo 130 GRANITE STREET, WESTERLY, RI, 02891, USA

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

Agent

Name Role Address
JASON P. MARSHALL, ESQ. Agent 300 CENTERVILLE ROAD SUMMIT WEST SUITE 204, WARWICK, RI, 02886, USA

National Provider Identifier

NPI Number:
1497980924

Authorized Person:

Name:
DR. BRIAN PAUL SHANNON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
4015965403

Form 5500 Series

Employer Identification Number (EIN):
270230155
Plan Year:
2021
Number Of Participants:
16
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA CAPALBO(Plan administrator)
Plan Year:
2021
Number Of Participants:
13
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA CAPALBO(Plan administrator)
Plan Year:
2020
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA CAPALBO(Plan administrator)
Plan Year:
2020
Number Of Participants:
14
Plan Name:
CASH BALANCE
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA CAPALBO(Plan administrator)
Plan Year:
2020
Number Of Participants:
12
Plan Name:
CASH BALANCE
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA CAPALBO(Plan administrator)

Filings

Number Name File Date
202449745760 Articles of Dissolution 2024-03-29
202335553570 Annual Report 2023-05-11
202217473800 Annual Report 2022-05-18
202105358220 Annual Report 2021-11-24
202188121890 Annual Report - Amended 2021-01-28

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2021-01-29
Action:
InitialFiling

Parties

Party Name:
CHILDREN'S DENTISTRY OF WESTERLY, LLC
Party Role:
Debtor(s)
Party Name:
BRIAN SHANNON
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$166,612
Total Face Value Of Loan:
$166,612

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$166,615
Date Approved:
2021-03-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,615
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$167,062.35
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $166,611
Utilities: $1
Jobs Reported:
18
Initial Approval Amount:
$166,612
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,612
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$168,529.18
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $166,612

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Date of last update: 12 Jul 2025

Sources: Rhode Island Department of State