| Name: | RHODE ISLAND COSMETIC DENTISTRY LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 28 Feb 2013 (12 years ago) |
| Identification Number: | 000796935 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1374 HARTFORD AVE, JOHNSTON, RI, 02919, USA |
| Mailing Address: | 1347 HARTFORD AVE, JOHNSTON, RI, 02919, US |
| Purpose: | DENTAL SERVICES |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417377359 | 2014-04-18 | 2014-04-18 | 63 CEDAR AVE UNIT 9, EAST GREENWICH, RI, 028183192, US | 63 CEDAR AVE UNIT 9, EAST GREENWICH, RI, 028183192, US | |||||||||||||||||||
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| Phone | +1 401-885-8808 |
| Fax | 4018858810 |
Authorized person
| Name | DR. JEFFREY B MANSOLILLO |
| Role | MANAGER PARTNER |
| Phone | 4018858808 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 2648 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JASON IZZI | Agent | 63 CEDAR AVENUE UNIT 9, EAST GREENWICH, RI, 02818, USA |
| Name | Role | Address |
|---|---|---|
| JEFFREY BRIAN MANSOLILLO | MANAGER | 33 HUNTERS KNOLL SMITHFIELD, RI 02917 US |
| JASON IZZI DMD | MANAGER | 1351 SMITH STREET NORTH PROVIDENCE, RI 02911 USA |
| Number | Name | File Date |
|---|---|---|
| 202455441870 | Annual Report | 2024-06-07 |
| 202326318360 | Annual Report | 2023-01-20 |
| 202208556640 | Annual Report | 2022-01-25 |
| 202100578740 | Annual Report | 2021-08-31 |
| 202064385400 | Annual Report | 2020-10-14 |
| 201927425190 | Annual Report | 2019-11-14 |
| 201876191560 | Annual Report | 2018-08-29 |
| 201751750390 | Annual Report | 2017-10-17 |
| 201608428360 | Annual Report | 2016-09-06 |
| 201695293450 | Articles of Amendment | 2016-05-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6667588507 | 2021-03-04 | 0165 | PPS | 63 Cedar Ave Unit 9, East Greenwich, RI, 02818-3192 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3599827406 | 2020-05-07 | 0165 | PPP | 63 Cedar Ave Unit 9, East Greenwich, RI, 02818-3192 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
