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Jonathan B. Vane DMD PC

Company Details

Name: Jonathan B. Vane DMD PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Sep 1985 (39 years ago)
Identification Number: 001659164
ZIP code: 02885
County: Bristol County
Principal Address: 38 STATE STREET, WARREN, RI, 02885, USA
Purpose: DENTAL PRACTICE
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891944294 2008-09-10 2016-02-25 38 STATE ST, WARREN, RI, 028853128, US 38 STATE ST, WARREN, RI, 028853128, US

Contacts

Phone +1 401-245-6131

Authorized person

Name DR. JONATHAN BRUCE VANE
Role OWNER
Phone 4012456131

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DEN02726
State RI
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD RI
Number 8381-6
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2023 042892173 2024-05-29 JONATHAN B. VANE, DMD PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2022 042892173 2023-02-17 JONATHAN B. VANE, DMD PC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2021 042892173 2022-03-15 JONATHAN B. VANE, DMD PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2020 042892173 2021-02-22 JONATHAN B. VANE, DMD PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2019 042892173 2020-03-02 JONATHAN B. VANE, DMD PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878
JONATHAN B. VANE, D.M.D., P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 042892173 2019-03-14 JONATHAN B. VANE, DMD PC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-09-15
Business code 621210
Sponsor’s telephone number 4012456131
Plan sponsor’s address 41 MIDDLE AVENUE, TIVERTON, RI, 02878

Agent

Name Role Address
JONATHAN B. VANE Agent 38 STATE STREET, WARREN, RI, 02885, USA

PRESIDENT

Name Role Address
JONATHAN B. VANE PRESIDENT 41 MIDDLE AVENUE TIVERTON, RI 02878 USA

Events

Type Date Old Value New Value
Conversion 2015-12-30 James M. Baker DDS PC on 12-30-2015 Jonathan B. Vane DMD PC

Filings

Number Name File Date
202450232130 Annual Report 2024-04-05
202327770400 Annual Report 2023-02-07
202211668860 Annual Report 2022-02-26
202187876890 Annual Report 2021-01-26
202032710410 Annual Report 2020-01-22
201984485900 Annual Report 2019-01-15
201859250800 Annual Report 2018-02-27
201734637360 Annual Report 2017-02-23
201602614390 Annual Report 2016-07-25
201601690890 Revocation Notice For Failure to File An Annual Report 2016-07-07

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State