Name: | DENTAL GROUP OF WAKEFIELD, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 13 Jul 2011 (14 years ago) |
Date of Dissolution: | 29 Dec 2020 (4 years ago) |
Date of Status Change: | 29 Dec 2020 (4 years ago) |
Identification Number: | 000690332 |
ZIP code: | 02879 |
County: | Washington County |
Principal Address: | 9 CHERRY LANE, WAKEFIELD, RI, 02879, USA |
Purpose: | DENTAL OFFICE |
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 | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699063099 | 2011-07-19 | 2011-07-20 | 26 SOUTH COUNTY COMMONS WAY, DENTAL GROUP OF WAKEFIELD LLC, WAKEFIELD, RI, 02880, US | 26 SOUTH COUNTY COMMONS, DENTAL GROUP OF WAKEFIELD LLC, WAKEFIELD, RI, 02880, US | |||||||||||||||||||||||||
|
Phone | +1 401-789-9718 |
Authorized person
Name | MATTHEW BRIAN CAPALBO |
Role | OWNER |
Phone | 4017899718 |
Taxonomy
Taxonomy Code | 122300000X - Dentist |
License Number | 2931 |
State | RI |
Is Primary | Yes |
Taxonomy Code | 122300000X - Dentist |
License Number | 2981 |
State | RI |
Is Primary | No |
Name | Role | Address |
---|---|---|
BRIAN M. CAPALBO | Agent | 130 GRANITE STREET, WESTERLY, RI, 02891, USA |
Name | Role | Address |
---|---|---|
MICHAEL CAPALBO | MANAGER | 108 SHORE ROAD WESTERLY, RI 02891 USA |
Number | Name | File Date |
---|---|---|
202082426370 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-29 |
202045482960 | Revocation Notice For Failure to File An Annual Report | 2020-07-20 |
201880329650 | Annual Report | 2018-10-29 |
201751461250 | Annual Report | 2017-10-12 |
201611676620 | Annual Report | 2016-11-02 |
201579584650 | Annual Report | 2015-09-17 |
201445902610 | Annual Report | 2014-09-03 |
201328364340 | Annual Report | 2013-09-18 |
201298639060 | Annual Report | 2012-10-16 |
201181002450 | Articles of Organization | 2011-07-13 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State