| Name: | GLENN L. DOMINGUEZ, D.M.D., LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 15 Sep 2014 (11 years ago) |
| Identification Number: | 000982993 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 2345 MENDON ROAD #3, WOONSOCKET, RI, 02895, 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215332077 | 2014-10-22 | 2014-10-22 | 219 CASS AVE, SUITE E, WOONSOCKET, RI, 028954736, US | 219 CASS AVE, SUITE E, WOONSOCKET, RI, 028954736, US | |||||||||||||||||||
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| Phone | +1 401-766-9122 |
| Fax | 4017661110 |
Authorized person
| Name | DR. GLENN LEGASPI DOMINGUEZ |
| Role | OWNER |
| Phone | 4017669122 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DEN02402 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL W. ARAGAO | Agent | 2374 DIAMOND HILL ROAD, CUMBERLAND, RI, 02864, USA |
| Number | Name | File Date |
|---|---|---|
| 202456993440 | Annual Report | 2024-06-19 |
| 202456835010 | Revocation Notice For Failure to File An Annual Report | 2024-06-18 |
| 202336462060 | Annual Report | 2023-05-31 |
| 202218098930 | Annual Report | 2022-06-01 |
| 202104284890 | Annual Report | 2021-10-29 |
| 202059853600 | Annual Report | 2020-10-01 |
| 201924987970 | Annual Report | 2019-10-22 |
| 201880547900 | Annual Report | 2018-10-31 |
| 201752226100 | Annual Report | 2017-10-25 |
| 201610599650 | Annual Report | 2016-10-19 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7679365002 | Small Business Administration | 59.012 - 7A | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| 7679425007 | Small Business Administration | 59.012 - 7A | No data | No data | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5681188300 | 2021-01-25 | 0165 | PPS | 2345 Mendon Rd, Woonsocket, RI, 02895-6187 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 11 May 2025
Sources: Rhode Island Department of State
