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PETITO ORAL SURGERY, LLC

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Company Details

Name: PETITO ORAL SURGERY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 28 Mar 2011 (14 years ago)
Identification Number: 000618627
ZIP code: 02914
City: East Providence
County: Providence County
Purpose: DENTAL AND ORAL SURGERY SERVICES
Principal Address: Google Maps Logo 400 MASSASOIT AVENUE SUITE 103, EAST PROVIDENCE, RI, 02914, USA

Contact Details

Phone +1 401-919-5560

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
ANTHONY PETITO Agent 400 MASSASOIT AVENUE SUITE 103, EAST PROVIDENCE, RI, 02914, USA

National Provider Identifier

NPI Number:
1134414154

Authorized Person:

Name:
DR. ANTHONY ROCCO PETITO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5083366580

Form 5500 Series

Employer Identification Number (EIN):
451273974
Plan Year:
2023
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTHONY PETITO(Plan administrator)
ANTHONY PETITO(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTHONY PETITO(Plan administrator)
ANTHONY PETITO(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTHONY PETITO(Plan administrator)
ANTHONY PETITO(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTHONY PETITO(Plan administrator)
ANTHONY PETITO(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ANTHONY PETITO(Plan administrator)
ANTHONY PETITO(Employer/plan sponsor)

Licenses

License No License Type Status Date Issued Expiration Date
DEF0725 Dental X-ray Facility Active 2011-08-29 2026-08-31
DFP02646 Dental Anesthesia Facility Active 2011-08-18 2026-08-18

Filings

Number Name File Date
202447326150 Annual Report 2024-02-29
202338722540 Annual Report 2023-06-27
202337845420 Revocation Notice For Failure to File An Annual Report 2023-06-16
202208528340 Annual Report 2022-01-24
202101878100 Statement of Change of Registered/Resident Agent Office 2021-09-21

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2021-05-10
Action:
Continuation

Parties

Party Name:
PETITO ORAL SURGERY, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2016-05-07

Parties

Party Name:
PETITO ORAL SURGERY, LLC
Party Role:
Debtor(s)
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2011-05-13

Parties

Party Name:
PETITO ORAL SURGERY, LLC
Party Role:
Debtor(s)
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
$10,000
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
SMALL BUSINESS
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$131,512
Total Face Value Of Loan:
$131,512

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$131,512
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$131,512
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$132,706.57
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $131,512

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Date of last update: 13 Jul 2025

Sources: Rhode Island Department of State