| Name: | OCEAN STATE ORAL SURGERY CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 15 Jan 2015 (10 years ago) |
| Date of Dissolution: | 14 Feb 2022 (3 years ago) |
| Date of Status Change: | 14 Feb 2022 (3 years ago) |
| Identification Number: | 001042023 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 468 SMITHFIELD RD, NORTH PROVIDENCE, RI, 02904, USA |
| Mailing Address: | 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904, 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225420979 | 2015-03-04 | 2015-12-30 | 468 SMITHFIELD RD, NORTH PROVIDENCE, RI, 029044238, US | 468 SMITHFIELD RD, NORTH PROVIDENCE, RI, 029044238, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 401-353-1515 |
Authorized person
| Name | DR. AARON CHRISTOPHER ERCOLE |
| Role | OWNER OF BUSINESS |
| Phone | 5628335570 |
Taxonomy
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| License Number | DEN03249 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AARON ERCODE | Agent | 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904, USA |
| Name | Role | Address |
|---|---|---|
| AARON ERCODE | MANAGER | 468 SMITHFIELD ROAD NORTH PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 202210293540 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-02-14 |
| 202106153220 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202061972630 | Annual Report | 2020-10-07 |
| 202034152290 | Annual Report | 2020-02-11 |
| 202034152650 | Statement of Change of Registered/Resident Agent | 2020-02-11 |
| 202034153170 | Annual Report | 2020-02-11 |
| 202034151590 | Reinstatement | 2020-02-11 |
| 201906404750 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992594160 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201872557450 | Annual Report | 2018-07-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4981317706 | 2020-05-01 | 0165 | PPP | 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 02904-4238 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 20 Oct 2024
Sources: Rhode Island Department of State
