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  5. LIVEWELL DENTAL LLC

LIVEWELL DENTAL LLC

Company Details

Name: LIVEWELL DENTAL LLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 14 Oct 2011 (14 years ago)
Identification Number: 000720174
ZIP code: 02921
County: Providence County
Place of Formation: DELAWARE
Principal Address: 50 SAGE DR., CRANSTON, RI, 02921, USA
Purpose: LIVEWELL DENTAL LLC PROVIDES GENERAL DENTAL SERVICES FOR NORTHERN RHODE ISLAND RESIDENTS.

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

Companies doing Offices of dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023394947 2011-10-24 2011-10-24 501 GREAT ROAD SUITE #206, NORTH SMITHFIELD, RI, 02896, US 501 GREAT RD STE 206, NORTH SMITHFIELD, RI, 028966833, US

Contacts
Phone +1 401-769-0798
Fax 4017620302

Authorized person
Name DR. FRANK EDWARD GIBBONS
Role MANAGER
Phone 4017690798

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DEN03137
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIVEWELL DENTAL 401(K) & PS PLAN 2023 453234332 2024-09-24 LIVEWELL DENTAL LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 501 GREAT RD, STE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2022 453234332 2023-09-27 LIVEWELL DENTAL LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 501 GREAT RD, STE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2021 453234332 2022-10-03 LIVEWELL DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 501 GREAT RD, STE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2020 453234332 2021-10-12 LIVEWELL DENTAL LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 501 GREAT RD, STE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2019 453234332 2020-09-29 LIVEWELL DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 201 GREAT ROAD, SUITE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2018 453234332 2019-10-01 LIVEWELL DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 201 GREAT ROAD, SUITE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2017 453234332 2018-10-11 LIVEWELL DENTAL LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 201 GREAT NECK ROAD, SUITE 206, NORTH SMITHFIELD, RI, 02896
LIVEWELL DENTAL 401(K) & PS PLAN 2016 453234332 2017-10-12 LIVEWELL DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 4017690798
Plan sponsor’s address 201 GREAT NECK ROAD, SUITE 206, NORTH SMITHFIELD, RI, 02896

Agent

Name Role Address
FRANK E GIBBONS Agent 501 GREAT ROAD SUITE 206, NORTH SMITHFIELD, RI, 02896, USA

MANAGER

Name Role Address
FRANK E. GIBBONS MANAGER 501 GREAT ROAD, SUITE 206 NORTH SMITHFIELD, RI 02896 USA
JULIA K GIBBONS MANAGER 501 GREAT RD SUITE 206 NORTH SMITHFIELD, RI 02896 USA

Filings

Number Name File Date
202450599530 Annual Report 2024-04-10
202330730480 Annual Report 2023-03-13
202217938200 Annual Report 2022-05-28
202103955610 Annual Report 2021-10-26
202071849560 Annual Report 2020-11-05
201924267360 Annual Report 2019-10-15
201880432080 Annual Report 2018-10-30
201749740530 Annual Report 2017-09-15
201611412390 Annual Report 2016-10-30
201578479560 Annual Report 2015-09-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6369617705 2020-05-01 0165 PPP 501 GREAT RD STE 206, NORTH SMITHFIELD, RI, 02896-6833
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 91320
Loan Approval Amount (current) 91320
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address NORTH SMITHFIELD, PROVIDENCE, RI, 02896-6833
Project Congressional District RI-01
Number of Employees 8
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Veteran
Forgiveness Amount 92264.39
Forgiveness Paid Date 2021-05-20
6578168301 2021-01-27 0165 PPS 501 Great Rd Ste 206, North Smithfield, RI, 02896-6833
Loan Status Date 2021-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90122
Loan Approval Amount (current) 90122
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address North Smithfield, PROVIDENCE, RI, 02896-6833
Project Congressional District RI-01
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Veteran
Forgiveness Amount 90810.88
Forgiveness Paid Date 2021-11-03

Related by officers

No related officers

Related by address

50 SAGE DR., CRANSTON, RI, 02921, USA

LIVEWELL DENTAL HOLDINGS, LLC

Date of last update: 16 Oct 2024

Sources: Rhode Island Department of State

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