| Name: | Pediatric Dental Care of Rhode Island, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Mar 2013 (12 years ago) |
| Identification Number: | 000797723 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 1775 BALD HILL ROAD SUITE 4, WARWICK, RI, 02886, USA |
| Purpose: | 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952734949 | 2013-08-14 | 2013-08-14 | 1775 BALD HILL RD, WARWICK, RI, 028864231, US | 1775 BALD HILL RD, WARWICK, RI, 028864231, US | |||||||||||||||||
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| Phone | +1 401-825-6062 |
Authorized person
| Name | DR. JASON HENCLER |
| Role | PEDIATRIC DENTIST/OWNER |
| Phone | 4018256062 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DEN03114 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EVERETT A. PETRONIO, JR., ESQ. | Agent | 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| JASON HENCLER DMD | PRESIDENT | 1775 BALD HILL ROAD - SUITE 4 WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 202454570670 | Annual Report | 2024-05-20 |
| 202336264330 | Annual Report | 2023-05-27 |
| 202217311670 | Annual Report | 2022-05-13 |
| 202187612920 | Annual Report | 2021-01-22 |
| 202032094510 | Annual Report | 2020-01-13 |
| 201987637720 | Annual Report | 2019-02-27 |
| 201858565220 | Annual Report | 2018-02-19 |
| 201730923160 | Annual Report | 2017-01-26 |
| 201693099270 | Annual Report | 2016-02-24 |
| 201565092350 | Annual Report | 2015-07-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8528648500 | 2021-03-10 | 0165 | PPS | 1775 Bald Hill Rd Unit 4, Warwick, RI, 02886-4210 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
