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RHODE ISLAND COSMETIC DENTISTRY LLC

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Company Details

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: 02818
City: East Greenwich
County: Kent County
Purpose: DENTAL SERVICES
Principal Address: Google Maps Logo 63 CEDAR AVENUE UNIT 9, EAST GREENWICH, RI, 02818, USA
Mailing Address: Google Maps Logo 63 CEDAR AVENUE UNI 9, EAST GREENWICH, RI, 02818, US

Contact Details

Phone +1 401-885-8808

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

MANAGER

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

Agent

Name Role Address
JASON IZZI Agent 63 CEDAR AVENUE UNIT 9, EAST GREENWICH, RI, 02818, USA

National Provider Identifier

NPI Number:
1417377359

Authorized Person:

Name:
DR. JEFFREY B MANSOLILLO
Role:
MANAGER PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
4018858810

Licenses

License No License Type Status Date Issued Expiration Date
DEF0835 Dental X-ray Facility Active 2016-01-22 2026-08-31

Filings

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

USAspending Awards / Financial Assistance

Business Type:
INDIVIDUAL
Date:
2021-03-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$35,800
Total Face Value Of Loan:
$35,800
Business Type:
INDIVIDUAL
Date:
2020-05-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$15,000
Total Face Value Of Loan:
$15,000

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$35,800
Date Approved:
2021-03-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$36,103.07
Servicing Lender:
CRF Small Business Loan Company, LLC
Use of Proceeds:
Payroll: $35,800
Jobs Reported:
4
Initial Approval Amount:
$15,000
Date Approved:
2020-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$15,139.73
Servicing Lender:
CRF Small Business Loan Company, LLC
Use of Proceeds:
Payroll: $15,000

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Date of last update: 13 Jul 2025

Sources: Rhode Island Department of State