| 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 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184927931 | 2010-12-17 | 2023-10-18 | 1044 BROAD ST, CENTRAL FALLS, RI, 028631507, US | 1044 BROAD ST, CENTRAL FALLS, RI, 028631507, US | |||||||||||||||||||
|
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| 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 |
| Name | Role | Address |
|---|---|---|
| EMMANUEL FRIAS | Agent | 15 FIRETHORN LANE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| EMMANUEL FRIAS | PRESIDENT | 15 FIRTHORN LANE CRANSTON, RI 02920 USA |
| 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
