| Name: | JOANNE C. LEWIS DDS, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 22 Jan 2010 (15 years ago) |
| Date of Dissolution: | 30 Jul 2018 (7 years ago) |
| Date of Status Change: | 30 Jul 2018 (7 years ago) |
| Identification Number: | 000525831 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 2358 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PROVIDE DENTAL SERVICES TO CHILDREN. |
| Fictitious names: |
West Bay Dental Group (trading name, 2014-01-06 - ) West Bay Pediatric Dentistry (trading name, 2012-08-24 - ) |
NAICS
62 Health Care and Social AssistanceThe Sector as a Whole Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871913715 | 2014-04-18 | 2014-04-18 | 2358 S COUNTY TRL, EAST GREENWICH, RI, 028181583, US | 2358 S COUNTY TRL, EAST GREENWICH, RI, 028181583, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-885-1500 |
| Fax | 4018851550 |
Authorized person
| Name | MR. DAVID LEWIS |
| Role | PRACTICE MANAGER |
| Phone | 4018851500 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 1487644852 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 1912036013 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 1730152182 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOANNE C. LEWIS | Agent | 2358 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
| Number | Name | File Date |
|---|---|---|
| 201873321690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-07-30 |
| 201865505370 | Revocation Notice For Failure to File An Annual Report | 2018-05-15 |
| 201610951980 | Annual Report | 2016-10-25 |
| 201581882580 | Annual Report | 2015-10-07 |
| 201446858510 | Annual Report | 2014-09-29 |
| 201432394150 | Fictitious Business Name Statement | 2014-01-06 |
| 201329180200 | Annual Report | 2013-10-07 |
| 201329089710 | Statement of Change of Registered/Resident Agent Office | 2013-10-03 |
| 201328385480 | Revocation Notice For Failure to Maintain a Registered Office | 2013-09-19 |
| 201328381130 | Registered Office Not Maintained | 2013-08-14 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
