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Rhode Island Family Dental, P.C.

Company Details

Name: Rhode Island Family Dental, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 03 Mar 2011 (14 years ago)
Date of Dissolution: 08 Jun 2012 (13 years ago)
Date of Status Change: 08 Jun 2012 (13 years ago)
Identification Number: 000592727
ZIP code: 02910
County: Providence County
Principal Address: 465 RESERVOIR AVENUE, CRANSTON, RI, 02910, USA
Purpose: DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619275914 2011-03-10 2011-03-10 465 RESERVOIR AVE, CRANSTON, RI, 029101728, US 465 RESERVOIR AVE, CRANSTON, RI, 029101728, US

Contacts

Phone +1 401-450-2177

Authorized person

Name MR. BENJAMIN L RODRICK
Role PRESIDENT
Phone 40145021277

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DEN03092
State RI
Is Primary Yes

Agent

Name Role Address
BENJAMIN RODRICK Agent 465 RESERVOIR AVENUE, CRANSTON, RI, 02910, USA

PRESIDENT

Name Role Address
DEEPTI KALRA PRESIDENT 58 TULIP CIRCLE SOUTH GRAFTON, MA 01560 USA

Filings

Number Name File Date
201293839690 Annual Report 2012-06-08
201293840560 Articles of Dissolution 2012-06-08
201293299070 Revocation Notice For Failure to File An Annual Report 2012-05-23
201176113910 Articles of Incorporation 2011-03-03

Date of last update: 15 Oct 2024

Sources: Rhode Island Department of State