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  5. Shaghalian Family Dental, LLC

Shaghalian Family Dental, LLC

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Company Details

Name: Shaghalian Family Dental, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 16 Mar 2016 (9 years ago)
Date of Dissolution: 14 Dec 2022 (3 years ago)
Date of Status Change: 14 Dec 2022 (3 years ago)
Identification Number: 001661411
ZIP code: 02916
City: Rumford
County: Providence County
Purpose: DENTAL PRACTICE
Principal Address: Google Maps Logo 1002 PAWTUCKET AVENUE, RUMFORD, RI, 02916, USA

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

Companies doing Offices of dentists

Agent

Name Role Address
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

MANAGER

Name Role Address
JUSTIN W. SHAGHALIAN, DMD MANAGER 1002 PAWTUCKET AVENUE RUMFORD, RI 02916 USA

National Provider Identifier

NPI Number:
1568904571
Link:
View on NPI website

Authorized Person:

Name:
DR. JUSTIN W SHAGHALIAN
Role:
DENTIST/OWNER
Phone:
4014384964

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 401-438-4964
Fax:
4014346021

Form 5500 Series

Employer Identification Number (EIN):
811868515
Plan Year:
2021
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
4014384964
File:
View File
Plan Administrator / Signatory:
JUSTIN SHAGHALIAN(Plan administrator)
JUSTIN SHAGHALIAN(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
4014384964
File:
View File
Plan Administrator / Signatory:
DAVID SYNER(Plan administrator)
DAVID SYNER(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
4014384964
File:
View File
Plan Administrator / Signatory:
JUSTIN SHAGHALIAN(Plan administrator)
JUSTIN SHAGHALIAN(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
4014384964
File:
View File
Plan Administrator / Signatory:
JUSTIN SHAGHALIAN(Plan administrator)
JUSTIN SHAGHALIAN(Employer/plan sponsor)
Plan Year:
2018
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's telephone number:
4014384964
File:
View File
Plan Administrator / Signatory:
JUSTIN SHAGHALIAN(Plan administrator)
JUSTIN SHAGHALIAN(Employer/plan sponsor)

Licenses

License No License Type Status Date Issued Expiration Date
DFP02703 Dental Anesthesia Facility Active 2024-01-18 2029-01-18

Filings

Number Name File Date
202225178650 Articles of Dissolution 2022-12-14
202224399380 Statement of Change of Registered/Resident Agent Office 2022-10-21
202212287330 Annual Report 2022-03-02
202102265990 Annual Report 2021-09-28
202064877310 Annual Report 2020-10-08

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202328324990
Filing Date:
2023-01-10
Action:
TerminationSecuredParty

Parties

Party Name:
Shaghalian Family Dental, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202227992100
Filing Date:
2022-11-16
Action:
TerminationSecuredParty

Parties

Party Name:
Shaghalian Family Dental, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202227992010
Filing Date:
2022-11-16
Action:
TerminationSecuredParty

Parties

Party Name:
Shaghalian Family Dental, LLC
Party Role:
Debtor(s)

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-02-06
Link:
View on USAspending
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:
$52,092
Total Face Value Of Loan:
$52,092
Business Type:
SMALL BUSINESS
Date:
2020-04-14
Link:
View on USAspending
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:
$52,410
Total Face Value Of Loan:
$52,410

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$52,410
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,410
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,756.49
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $52,410
Jobs Reported:
5
Initial Approval Amount:
$52,092
Date Approved:
2021-02-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,092
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,450.86
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $52,088
Utilities: $1

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Related by address

1002 PAWTUCKET AVENUE, RUMFORD, RI, 02916, USA

1002 Pawtucket Avenue, LLC
Domestic Limited Liability Company
1002 Pawtucket Avenue, LLC, which currently Revoked Entity, had registered address 1002 PAWTUCKET AVENUE, RUMFORD, RI, 02916, USA.

Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State

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