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RHODE ISLAND COSMETIC DENTISTRY LLC

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: 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 Dentists

National Provider Identifier

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

Contacts

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

Agent

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

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

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
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

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State