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  5. Newport Pediatric Dentistry, Inc.

Newport Pediatric Dentistry, Inc.

Company Details

Name: Newport Pediatric Dentistry, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 28 Mar 2013 (12 years ago)
Identification Number: 000797752
ZIP code: 02840
County: Newport County
Principal Address: 15 OLD BEACH ROAD SUITE 1, NEWPORT, RI, 02840, USA
Purpose: DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750723276 2013-07-25 2013-07-25 15 OLD BEACH RD, NEWPORT, RI, 028403285, US 15 OLD BEACH RD, NEWPORT, RI, 028403285, US

Contacts
Phone +1 401-849-4790

Authorized person
Name DR. FAITH C DRENNON
Role DENTIST
Phone 4018494790

Taxonomy
Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2023 462396065 2024-07-17 NEWPORT PEDIATRIC DENTISTRY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD- SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2022 462396065 2023-10-10 NEWPORT PEDIATRIC DENTISTRY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD- SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2021 462396065 2022-06-13 NEWPORT PEDIATRIC DENTISTRY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD- SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2022-06-13
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN & TRUST 2020 462396065 2021-09-13 NEWPORT PEDIATRIC DENTISTRY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD- SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2019 462396065 2021-09-12 NEWPORT PEDIATRIC DENTISTRY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2021-09-12
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2019 462396065 2020-09-11 NEWPORT PEDIATRIC DENTISTRY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2018 462396065 2019-10-10 NEWPORT PEDIATRIC DENTISTRY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing FAITH C. DRENNON, D.M.D.
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2017 462396065 2018-10-04 NEWPORT PEDIATRIC DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-04
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2016 462396065 2017-08-14 NEWPORT PEDIATRIC DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2017-08-13
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-13
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
NEWPORT PEDIATRIC DENTISTRY, INC. 401(K) PROFIT SHARING PLAN 2015 462396065 2016-06-28 NEWPORT PEDIATRIC DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/16/20150616155728P040046687159001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4018494790
Plan sponsor’s address 15 OLD BEACH ROAD, SUITE 1, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-16
Name of individual signing FAITH DRENNON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
W. THOMAS HUMPHREYS Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
FAITH DRENNON DMD PRESIDENT 15 OLD BEACH ROAD, SUITE 1 NEWPORT, RI 02840 USA

TREASURER

Name Role Address
FAITH DRENNON DMD TREASURER 15 OLD BEACH ROAD, SUITE 1 NEWPORT, RI 02840 USA

SECRETARY

Name Role Address
FAITH DRENNON DMD SECRETARY 15 OLD BEACH ROAD, SUITE 1 NEWPORT, RI 02840 USA

Filings

Number Name File Date
202449574810 Annual Report 2024-03-27
202334761200 Annual Report 2023-04-30
202217408640 Annual Report 2022-05-17
202193333150 Annual Report 2021-03-01
202035967550 Annual Report 2020-03-06
201985105140 Annual Report 2019-01-24
201861003780 Annual Report 2018-03-27
201730779280 Annual Report 2017-01-25
201690128540 Annual Report 2016-01-06
201552995080 Annual Report 2015-01-08

Related by officers

W. THOMAS HUMPHREYS

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Related by address

15 OLD BEACH ROAD SUITE 1, NEWPORT, RI, 02840, USA

NPD, LLC Rhode Island Tongue Tie Center, LLC

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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