| Name: | South County Dermatology, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Aug 2011 (14 years ago) |
| Identification Number: | 000698563 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 3461 SOUTH COUNTY TRAIL SUITE 202, EAST GREENWICH, RI, 02818, USA |
| Mailing Address: | 3461 SOUTH COUNTY TRAIL SUITE 202, EAST GREENWICH, RI, 02818, USA |
| Purpose: | MEDICAL OFFICE |
| Fictitious names: |
South County Dermatology (trading name, 2015-05-15 - ) |
| Historical names: |
Robert K. Dyer MD Dermatology LLC |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or 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. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528348521 | 2011-08-22 | 2011-08-22 | 3461 S COUNTY TRL, SUITE 202, EAST GREENWICH, RI, 028181465, US | 3461 S COUNTY TRL, SUITE 202, EAST GREENWICH, RI, 028181465, US | |||||||||||||||
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| Phone | +1 401-471-3376 |
| Fax | 4014716865 |
Authorized person
| Name | DR. ROBERT K DYER |
| Role | PRESIDENT |
| Phone | 4013309588 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT K. DYER, MD, LLC 401(K) PLAN | 2023 | 452971242 | 2024-10-15 | ROBERT K. DYER, MD, DERMATOLOGY LLC | 60 | |||||||||||||||||||||||||||||||||
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| ROBERT K. DYER, MD, LLC CASH BALANCE PLAN | 2023 | 452971242 | 2024-10-15 | ROBERT K. DYER, MD, DERMATOLOGY LLC | 28 | |||||||||||||||||||||||||||||||||
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| ROBERT K. DYER, MD, LLC 401(K) PLAN | 2022 | 452971242 | 2023-10-13 | ROBERT K. DYER, MD, DERMATOLOGY LLC | 44 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | ROBERT DYER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-10-13 |
| Name of individual signing | ROBERT DYER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROBERT K. DYER | Agent | 3461 SOUTH COUNTY TRAIL SUITE 202, EAST GREENWICH, RI, 02818, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2024-03-26 | Robert K. Dyer MD Dermatology LLC | South County Dermatology, LLC |
| Number | Name | File Date |
|---|---|---|
| 202458404430 | Annual Report | 2024-07-29 |
| 202456670710 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
| 202449385290 | Articles of Amendment | 2024-03-26 |
| 202330227160 | Annual Report | 2023-03-08 |
| 202213229780 | Annual Report | 2022-03-22 |
| 202100611500 | Annual Report | 2021-09-01 |
| 202057292960 | Annual Report | 2020-09-23 |
| 201985352580 | Statement of Change of Registered/Resident Agent Office | 2019-01-28 |
| 201984976200 | Annual Report | 2019-01-23 |
| 201862865990 | Annual Report | 2018-04-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4409218303 | 2021-01-23 | 0165 | PPS | 3461 S County Trl, East Greenwich, RI, 02818-1465 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8054247107 | 2020-04-15 | 0165 | PPP | 3461 South County Tr Suite 202, East Greenwich, RI, 02818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
