| Name: | JOANNE C. LEWIS PEDIATRIC DENTISTRY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 May 2010 (15 years ago) |
| Identification Number: | 000540960 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 5700 POST ROAD SUITE 5, EAST GREENWICH, RI, 02818, USA |
| Mailing Address: | 1111 MAIN STREET, HOPE VALLEY, RI, 02832, USA |
| Purpose: | THE PRACTICE OF DENTISTRY |
| Fictitious names: |
Chariho Children's Dentistry (trading name, 2021-03-12 - ) Childrens Dentistry of East Greenwich (trading name, 2017-09-15 - ) Valley Dental (trading name, 2017-01-10 - ) Childrens Dentistry of Coventry (trading name, 2010-12-02 - ) |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780121350 | 2017-01-20 | 2019-02-20 | 5700 POST RD UNIT 5, EAST GREENWICH, RI, 028183455, US | 5700 POST RD UNIT 5, EAST GREENWICH, RI, 028183455, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-285-2500 |
| Fax | 4018231702 |
Authorized person
| Name | AMANDA N JOHNSON |
| Role | PRACTICE MANAGER |
| Phone | 4012852500 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 1497729370 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 1114362506 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 1487644852 |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 1053759225 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1912036013 |
| Issuer | NPI |
| Number | 1487644852 |
| Issuer | NPI |
| Number | 1891157145 |
| Name | Role | Address |
|---|---|---|
| JOANNE LEWIS | Agent | 1111 MAIN STREET, HOPE VALLEY, RI, 02832, USA |
| Number | Name | File Date |
|---|---|---|
| 202458802010 | Statement of Change of Registered/Resident Agent Office | 2024-08-13 |
| 202458800890 | Reinstatement | 2024-08-13 |
| 202455519380 | Revocation Certificate For Failure to Maintain a Registered Office | 2024-06-10 |
| 202454658710 | Miscellaneous Filing (No Fee) | 2024-05-21 |
| 202454285970 | Annual Report | 2024-05-14 |
| 202449472260 | Revocation Notice For Failure to Maintain a Registered Office | 2024-03-27 |
| 202447983290 | Registered Office Not Maintained | 2024-02-06 |
| 202327753610 | Annual Report | 2023-02-07 |
| 202209823660 | Annual Report | 2022-02-09 |
| 202101915300 | Annual Report | 2021-09-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3954508101 | 2020-07-15 | 0165 | PPP | 5700 Post Rd Suite 5, EAST GREENWICH, RI, 02818-3455 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9200678608 | 2021-03-25 | 0165 | PPS | 5700 Post Rd Unit 5, East Greenwich, RI, 02818-3455 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
