| Name: | PORTSMOUTH DENTAL ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Aug 2014 (11 years ago) |
| Identification Number: | 000974320 |
| ZIP code: | 02871 |
| County: | Newport County |
| Principal Address: | 2765 E MAIN RD, PORTSMOUTH, RI, 02871, USA |
| Mailing Address: | 43B MEMORIAL BLVD., NEWPORT, RI, 02840, USA |
| Purpose: | PRACTICE OF DENTISTRY |
| Fictitious names: |
Portsmouth Family and Cosmetic Dentistry (trading name, 2014-08-26 - ) |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790167443 | 2015-06-18 | 2015-07-28 | 136 BROADWAY, NEWPORT, RI, 028402748, US | 2765 E MAIN RD, PORTSMOUTH, RI, 028712605, US | |||||||||||||||||
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| Phone | +1 401-683-9724 |
Authorized person
| Name | DR. NATHAN WAYNE TILMAN |
| Role | OWNER/DENTIST |
| Phone | 4016839724 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DEN02928 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH H. OLAYNACK, III, ESQ. | Agent | 43 MEMORIAL BOULEVARD 2ND FLOOR, NEWPORT, RI, 02840, USA |
| Number | Name | File Date |
|---|---|---|
| 202447138960 | Annual Report | 2024-02-23 |
| 202332831590 | Annual Report | 2023-04-12 |
| 202217531320 | Annual Report | 2022-05-19 |
| 202104103650 | Annual Report | 2021-10-28 |
| 202066916800 | Annual Report | 2020-10-21 |
| 201922656940 | Annual Report | 2019-10-03 |
| 201878965330 | Annual Report | 2018-10-05 |
| 201862008360 | Statement of Change of Registered/Resident Agent Office | 2018-04-12 |
| 201751904810 | Annual Report | 2017-10-19 |
| 201610621450 | Annual Report | 2016-10-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1159958501 | 2021-02-18 | 0165 | PPS | 2765 E Main Rd, Portsmouth, RI, 02871-2605 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6720817105 | 2020-04-14 | 0165 | PPP | 2765 East Main Road, PORTSMOUTH, RI, 02871 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
