| Name: | Advanced Dentistry of Rhode Island, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 13 Dec 2017 (7 years ago) |
| Date of Dissolution: | 11 Sep 2023 (2 years ago) |
| Date of Status Change: | 11 Sep 2023 (2 years ago) |
| Identification Number: | 001679614 |
| ZIP code: | 02915 |
| County: | Providence County |
| Principal Address: | 250 WAMPANOAG TRAIL UNIT 103, RIVERSIDE, RI, 02915, USA |
| Purpose: | GENERAL DENTIST |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467925529 | 2019-01-10 | 2020-10-13 | 250 WAMPANOAG TRL STE 103, RIVERSIDE, RI, 029152215, US | 250 WAMPANOAG TRL STE 103, RIVERSIDE, RI, 029152215, US | |||||||||||||||||
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| Phone | +1 401-434-4413 |
Authorized person
| Name | RYAN S LEE |
| Role | PRESIDENT |
| Phone | 6178330158 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RYAN SEUNGJOO LEE, DDS | Agent | 250 WAMPANOAG TRAIL #103, RIVERSIDE, RI, 02915, USA |
| Name | Role | Address |
|---|---|---|
| RYAN SEUNGJOO LEE | Manager | 250 WAMPANOAG TRAIL, #103 RIVERSIDE, RI 02915 USA |
| Number | Name | File Date |
|---|---|---|
| 202340932070 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-11 |
| 202336983970 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202221384370 | Annual Report | 2022-07-18 |
| 202218847970 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202208687920 | Annual Report | 2022-01-31 |
| 202105909440 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202057282420 | Annual Report | 2020-09-23 |
| 201921520440 | Annual Report | 2019-09-27 |
| 201880063310 | Annual Report | 2018-10-24 |
| 201755017390 | Articles of Organization | 2017-12-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9128587004 | 2020-04-09 | 0165 | PPP | 250 WAMPANOAG TRL, RIVERSIDE, RI, 02915-2214 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3011188509 | 2021-02-22 | 0165 | PPS | 250 Wampanoag Trl Ste 103, Riverside, RI, 02915-2215 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
