| Name: | ZUMSTEIN FAMILY DENTISTRY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 06 Apr 2012 (13 years ago) |
| Identification Number: | 000789373 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 80 PERSHING AVENUE, WAKEFIELD, RI, 02879, USA |
| Purpose: | PRACTICE OF DENTISTRY |
| NAICS: | 621210 - Offices of Dentists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104234350 | 2014-07-31 | 2014-07-31 | 159 GOVERNOR ST, PROVIDENCE, RI, 029063062, US | 159 GOVERNOR ST, PROVIDENCE, RI, 029063062, US | |||||||||||||||||
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| Phone | +1 401-274-1140 |
Authorized person
| Name | DR. JUSTIN ZUMSTEIN |
| Role | D.D.S |
| Phone | 4012741140 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 2876 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZUMSTEIN FAMILY DENTISTRY, LLC 401(K) PLAN | 2023 | 454993022 | 2024-05-03 | ZUMSTEIN FAMILY DENTISTRY, LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-04 |
| Name of individual signing | JUSTIN ZUMSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4017892510 |
| Plan sponsor’s address | 80 PERSHING AVENUE, WAKEFIELD, RI, 02879 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-25 |
| Name of individual signing | JUSTIN ZUMSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ORSON AND BRUSINI LTD. | Agent | 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| JUSTIN N ZUMSTEIN | MANAGER | 80 PERSHING AVENUE WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202447486160 | Annual Report | 2024-02-27 |
| 202334454760 | Annual Report | 2023-04-28 |
| 202328582750 | Annual Report | 2023-02-14 |
| 202224485100 | Statement of Change of Registered/Resident Agent Office | 2022-10-21 |
| 202210756630 | Annual Report | 2022-02-11 |
| 202102428610 | Annual Report | 2021-09-29 |
| 202060382430 | Annual Report | 2020-09-30 |
| 201922407740 | Annual Report | 2019-09-30 |
| 201877667550 | Annual Report | 2018-09-17 |
| 201750904730 | Annual Report | 2017-10-03 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
