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COASTAL DENTAL ASSOCIATES III, LLC

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Company Details

Name: COASTAL DENTAL ASSOCIATES III, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 31 Dec 2014 (11 years ago)
Identification Number: 001027279
ZIP code: 02835
City: Jamestown
County: Newport County
Purpose: DENTAL PRACTICE
Principal Address: Google Maps Logo 20 CLINTON AVENUE, JAMESTOWN, RI, 02835, USA

Contact Details

Phone +1 401-423-2110

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

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1831587260

Authorized Person:

Name:
JENNIFER KUCHAR
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
4014239224

Licenses

License No License Type Status Date Issued Expiration Date
DEF0836 Dental X-ray Facility Active 2016-01-28 2026-08-31

Filings

Number Name File Date
202458399060 Annual Report 2024-07-29
202456902910 Revocation Notice For Failure to File An Annual Report 2024-06-18
202335226780 Annual Report 2023-05-03
202212934630 Annual Report 2022-03-16
202103464950 Annual Report 2021-10-19

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-01-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$59,844
Total Face Value Of Loan:
$59,844
Business Type:
SMALL BUSINESS
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$58,049
Total Face Value Of Loan:
$58,049

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$58,049
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,049
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$58,637.55
Servicing Lender:
BayCoast Bank
Use of Proceeds:
Payroll: $58,049
Jobs Reported:
4
Initial Approval Amount:
$59,844
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,844
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$60,163.17
Servicing Lender:
BayCoast Bank
Use of Proceeds:
Payroll: $59,838
Utilities: $1

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State