| 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 (10 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 |
| NAICS: | 621210 - Offices of Dentists |
| Fictitious names: |
Portsmouth Family and Cosmetic Dentistry (trading name, 2014-08-26 - ) |
| 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 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
