| 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 DentistsThis 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
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7115777102 | 2020-04-14 | 0165 | PPP | 80 Pershing Ave, WAKEFIELD, RI, 02879 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
