| 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 (13 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
South County Dermatology (trading name, 2015-05-15 - ) |
| Historical names: |
Robert K. Dyer MD Dermatology LLC |
| 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 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
