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Harborside Family Dental, LLC

Company Details

Name: Harborside Family Dental, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 31 Aug 2017 (8 years ago)
Identification Number: 001676832
ZIP code: 02915
County: Providence County
Principal Address: 600 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA
Purpose: DENTIST OFFICE

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275051450 2017-09-07 2017-09-07 600 WAMPANOAG TRL, RIVERSIDE, RI, 029151511, US 600 WAMPANOAG TRL, RIVERSIDE, RI, 029151511, US

Contacts

Phone +1 401-431-2180

Authorized person

Name MS. SAMANTHA BURNELL
Role CHIEF OPERATIONS OFFICER
Phone 4015780274

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
TORI CARBONE Agent 931 JEFFERSON BOULEVARD SUITE 3005, WARWICK, RI, 02886, USA

Filings

Number Name File Date
202447919820 Annual Report 2024-03-06
202339771600 Statement of Change of Registered/Resident Agent 2023-07-25
202327440330 Annual Report 2023-02-03
202105255510 Annual Report 2021-11-22
202187612290 Annual Report 2021-01-22
202187611950 Annual Report 2021-01-22
202034196320 Annual Report 2020-02-12
201878221940 Annual Report 2018-09-26
201748993540 Articles of Organization 2017-08-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3634498308 2021-01-22 0165 PPS 600 Wampanoag Trl Ste A, Riverside, RI, 02915-1511
Loan Status Date 2021-12-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64937.5
Loan Approval Amount (current) 64937.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Riverside, PROVIDENCE, RI, 02915-1511
Project Congressional District RI-01
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65449.78
Forgiveness Paid Date 2021-11-15
6442157009 2020-04-06 0165 PPP 600 WAMPANOAG TRL, RIVERSIDE, RI, 02915-1504
Loan Status Date 2021-06-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64937
Loan Approval Amount (current) 64937
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address RIVERSIDE, PROVIDENCE, RI, 02915-1504
Project Congressional District RI-01
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65651.31
Forgiveness Paid Date 2021-05-24

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State