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  5. FACIAL & ORAL SURGERY, LLC

FACIAL & ORAL SURGERY, LLC

Company Details

Name: FACIAL & ORAL SURGERY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 31 Jan 2012 (13 years ago)
Identification Number: 000786363
ZIP code: 02888
County: Kent County
Principal Address: 243 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA
Mailing Address: 243 JEFFERSON BLVD, WARWICK, RI, 02888, USA
Purpose: FACIAL AND ORAL SURGERY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881950509 2012-04-06 2012-04-06 243 JEFFERSON BLVD, WARWICK, RI, 028883818, US 243 JEFFERSON BLVD, WARWICK, RI, 028883818, US

Contacts
Phone +1 401-739-5500
Fax 4017381550

Authorized person
Name MS. CATHY ALMONTE
Role BILLING MANAGER
Phone 4017395500

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 2741
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MSL CASH BALANCE PLAN 2023 454444223 2024-09-24 FACIAL & ORAL SURGERY, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2023 454444223 2024-07-07 FACIAL & ORAL SURGERY, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2022 454444223 2023-10-10 FACIAL & ORAL SURGERY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2022 454444223 2023-05-04 FACIAL & ORAL SURGERY, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2021 454444223 2022-04-12 FACIAL & ORAL SURGERY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2021 454444223 2022-04-18 FACIAL & ORAL SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2020 454444223 2021-04-15 FACIAL & ORAL SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2020 454444223 2021-05-12 FACIAL & ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2020 454444223 2021-04-05 FACIAL & ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818

Agent

Name Role Address
JENNIFER R. CERVENKA, ESQ. Agent 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202445866720 Annual Report 2024-02-07
202327473860 Annual Report 2023-02-03
202222131540 Statement of Change of Registered/Resident Agent Office 2022-08-14
202209878110 Annual Report 2022-02-09
202101011660 Annual Report 2021-09-07
202059533340 Annual Report 2020-09-30
201929117660 Annual Report 2019-12-03
201876014850 Annual Report 2018-08-27
201752288810 Statement of Change of Registered/Resident Agent 2017-10-26
201749386170 Annual Report 2017-09-08

Related by officers

JENNIFER R. CERVENKA, ESQ.

AGM HOLDINGS, LLC Hakobyan, Inc. Cervenka Green & Ducharme LLC

Related by address

243 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA

Maxillofacial Surgeons, Ltd. BANEDAW LLC CLATIHAC, LLC ARTISTIC CONTOURS, LLC Better Body, LLC

243 JEFFERSON BLVD, WARWICK, RI, 02888, USA

AGM HOLDINGS, LLC Better Body, LLC

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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