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ATWILL-CONROY PROVIDENCE, LLC.

Company Details

Name: ATWILL-CONROY PROVIDENCE, LLC.
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 22 Feb 2011 (14 years ago)
Identification Number: 000585704
ZIP code: 02908
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF DENTISTRY
Fictitious names: Atwill Conroy Dental Associates (trading name, 2011-03-23 - 2011-12-29)
Historical names: CGHE Dental, LLC
Principal Address: Google Maps Logo 1196 SMITH STREET, PROVIDENCE, RI, 02908, USA

Contact Details

Phone +1 401-353-3090
+1 401-351-3090

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
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

MANAGER

Name Role Address
KRISTOFER HAGGERTY MANAGER 1196 SMITH STREET PROVIDENCE, RI 02908 USA
BAKHOUM M GIRGIS MANAGER 1196 SMITH STREET PROVIDENCE, RI 02908 US
THOMAS J HERNON MANAGER 1196 SMITH STREET PROVIDENCE, RI 02908 US
WILLIAM R CONROY JR. MANAGER 1196 SMITH STREET PROVIDENCE, RI 02908 US

National Provider Identifier

NPI Number:
1750680435

Authorized Person:

Name:
DR. KRISTOFER HAGGARTY
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
4013311315

Events

Type Date Old Value New Value
Name Change 2014-05-06 CGHE Dental, LLC ATWILL-CONROY PROVIDENCE, LLC.

Licenses

License No License Type Status Date Issued Expiration Date
DFP02647 Dental Anesthesia Facility Active 2012-07-30 2027-07-30
DEF0731 Dental X-ray Facility Active 2012-04-05 2025-08-31

Filings

Number Name File Date
202449988220 Annual Report 2024-04-02
202330276050 Annual Report 2023-03-08
202224359780 Statement of Change of Registered/Resident Agent Office 2022-10-21
202217186160 Annual Report 2022-05-09
202102156090 Annual Report 2021-09-27

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-3 CONTINUATION
UCC Filing Number:
Filing Date:
2020-09-03
Action:
Continuation

Parties

Party Name:
ATWILL-CONROY PROVIDENCE, LLC.
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2015-11-19

Parties

Party Role:
Debtor(s)
Party Name:
ATWILL-CONROY PROVIDENCE, LLC.
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Name:
BANK OF AMERICA, N.A.
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2011-02-24

Parties

Party Name:
ATWILL-CONROY PROVIDENCE, LLC.
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Name:
BANK OF AMERICA, N.A.
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 30 May 2025

Sources: Rhode Island Department of State