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BLACKSTONE DENTAL, P.C.

Company Details

Name: BLACKSTONE DENTAL, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Jan 2010 (15 years ago)
Identification Number: 000525043
ZIP code: 02863
County: Providence County
Principal Address: 1044 BROAD STREET, CENTRAL FALLS, RI, 02863, USA
Purpose: DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184927931 2010-12-17 2023-10-18 1044 BROAD ST, CENTRAL FALLS, RI, 028631507, US 1044 BROAD ST, CENTRAL FALLS, RI, 028631507, US

Contacts

Phone +1 401-722-4086
Fax 4014751811

Authorized person

Name EMMANUEL ANTONIO FRIAS
Role DENTIST/OWNER
Phone 4017224086

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 02994
State RI
Is Primary Yes

Agent

Name Role Address
EMMANUEL FRIAS Agent 15 FIRETHORN LANE, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
EMMANUEL FRIAS PRESIDENT 15 FIRTHORN LANE CRANSTON, RI 02920 USA

Filings

Number Name File Date
202444873710 Annual Report 2024-01-28
202326275320 Annual Report 2023-01-19
202208351650 Annual Report 2022-01-20
202186930070 Annual Report 2021-01-18
201930338340 Annual Report 2019-12-17
201883240510 Annual Report 2018-12-26
201755405340 Annual Report 2017-12-27
201734076970 Annual Report 2017-02-14
201734076880 Statement of Change of Registered Office by the Registered Agent 2017-02-14
201733575140 Revocation Notice For Failure to Maintain a Registered Office 2017-02-06

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State