| Name: | PAOLUCCI, LINCOLN DENTAL ASSOCIATES, PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 22 Aug 2016 (9 years ago) |
| Identification Number: | 001666224 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 6 BLACKSTONE VALLEY PLACE SUITE 306A, LINCOLN, RI, 02865, USA |
| Purpose: | PRACTICE OF DENISTRY AND DENTAL SERVICES |
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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639628993 | 2016-09-28 | 2016-09-28 | 6 BLACKSTONE VALLEY PL, SUITE 306A, LINCOLN, RI, 028651179, US | 6 BLACKSTONE VALLEY PL, SUITE 306A, LINCOLN, RI, 028651179, US | |||||||||||||||||||||
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| Phone | +1 401-333-5500 |
Authorized person
| Name | MARK LOUIS PAOLUCCI |
| Role | DENTIST |
| Phone | 4013335500 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | DEN03270 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HARRY J. HOOPIS, ESQ. | Agent | 33 COLLEGE HILL ROAD 5B, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| MARK LOUIS PAOLUCCI, D.M.D. | PRESIDENT | 197 EIGHTH STREET, UNIT 426 BOSTON, MA 02129 USA |
| Number | Name | File Date |
|---|---|---|
| 202447771220 | Annual Report | 2024-02-28 |
| 202330671800 | Annual Report | 2023-03-10 |
| 202212405680 | Annual Report | 2022-03-02 |
| 202187501710 | Annual Report | 2021-01-20 |
| 202062204820 | Annual Report | 2020-10-07 |
| 202055150550 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201986067410 | Annual Report | 2019-02-06 |
| 201986067780 | Statement of Change of Registered/Resident Agent | 2019-02-06 |
| 201875253610 | Annual Report | 2018-08-22 |
| 201875253980 | Annual Report | 2018-08-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1749458406 | 2021-02-02 | 0165 | PPP | 6 Blackstone Valley Pl Ste 306A, Lincoln, RI, 02865-1112 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1957089000 | 2021-05-14 | 0165 | PPS | 6 Blackstone Valley Pl Ste 306A, Lincoln, RI, 02865-1112 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
