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  5. LINDSAY R. CASSIDY, DMD, LLC

LINDSAY R. CASSIDY, DMD, LLC

Company Details

Name: LINDSAY R. CASSIDY, DMD, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 14 Aug 2014 (11 years ago)
Identification Number: 000971849
ZIP code: 02878
County: Newport County
Principal Address: 1750 MAIN ROAD UNITS 1 AND 2, TIVERTON, RI, 02878, USA
Purpose: OWN AND RUN A DENTAL OFFICE
Fictitious names: Stone Bridge Dental Group (trading name, 2020-02-03 - )

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

Companies doing Offices of dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861647158 2008-12-01 2008-12-01 1750 MAIN RD, TIVERTON, RI, 028784538, US 1750 MAIN RD, TIVERTON, RI, 028784538, US

Contacts
Phone +1 401-624-2375

Authorized person
Name DR. PAUL BAZZONI
Role EMPLOYEE
Phone 4016242375

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 1864
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 8931-3
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2023 471590208 2024-06-04 LINDSAY R. CASSIDY, DMD, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing BETSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2022 471590208 2023-06-01 LINDSAY R. CASSIDY, DMD, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2023-06-01
Name of individual signing BETSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2021 471590208 2023-02-16 LINDSAY R. CASSIDY, DMD, LLC 13
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2023-02-16
Name of individual signing BETSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2021 471590208 2023-04-27 LINDSAY R. CASSIDY, DMD, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2023-04-27
Name of individual signing BETSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2020 471590208 2021-07-22 LINDSAY R. CASSIDY, DMD, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing BETSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2019 471590208 2020-07-16 LINDSAY R. CASSIDY, DMD, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing LINDSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature
LINDSAY R. CASSIDY, DMD, LLC 401(K) PLAN 2018 471590208 2019-07-09 LINDSAY R. CASSIDY, DMD, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 4016242375
Plan sponsor’s address 1750 MAIN ROAD, TIVERTON, RI, 02878

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing LINDSEY CASSIDY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Filings

Number Name File Date
202448077060 Annual Report 2024-03-08
202332264730 Annual Report 2023-04-04
202215245210 Annual Report 2022-04-20
202207843110 Statement of Change of Registered/Resident Agent 2022-01-11
202103211860 Annual Report 2021-10-14
202066310680 Annual Report 2020-10-15
202033664000 Fictitious Business Name Statement 2020-02-03
201923637560 Annual Report 2019-10-07
201878415240 Annual Report 2018-09-27
201749744060 Annual Report 2017-09-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5143257010 2020-04-05 0165 PPP 1750 Main Road, TIVERTON, RI, 02878-4500
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 115000
Loan Approval Amount (current) 115000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65657
Servicing Lender Name BankNewport
Servicing Lender Address 10 Washington Sq, NEWPORT, RI, 02840-2948
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TIVERTON, NEWPORT, RI, 02878-4500
Project Congressional District RI-01
Number of Employees 12
NAICS code 621210
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 65657
Originating Lender Name BankNewport
Originating Lender Address NEWPORT, RI
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 115923.15
Forgiveness Paid Date 2021-02-19

Related by officers

JOHN W. WOLFE, ESQ.

GTS FLEXIBLE MATERIALS, INC. RIDE, Inc. LIGHTNING BAY, INC. BROWN NEUROLOGY DIAGNOSTIC INFORMATION SYSTEM, INC. Frank J. Jehle, Jr., M.D., Inc. AAD, LLC C.D.2.I, INC. AMERICAN FRIENDS OF THE HAKLUYT SOCIETY SEASCAPE LAWN CARE INC.

Related by address

1750 MAIN ROAD UNITS 1 AND 2, TIVERTON, RI, 02878, USA

LMV Holdings, LLC

Date of last update: 19 Oct 2024

Sources: Rhode Island Department of State

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