| Name: | MIDDLETOWN FAMILY DENTAL, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Mar 2018 (7 years ago) |
| Identification Number: | 001682135 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 770 AQUIDNECK AVE, MIDDLETOWN, RI, 02842, USA |
| Purpose: | DENTIST OFFICE |
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 | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174026587 | 2018-03-12 | 2018-03-12 | 29 UPDIKE AVE, NORTH KINGSTOWN, RI, 028525728, US | 770 AQUIDNECK AVE, MIDDLETOWN, RI, 028427246, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 860-944-4149 |
| Phone | +1 401-847-2094 |
Authorized person
| Name | DR. MICHAEL CAPALBO |
| Role | CHIEF DENTIST |
| Phone | 8609444149 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 2931 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 1073658258 |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 1073658258 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TORI CARBONE | Agent | 931 JEFFERSON BOULEVARD SUITE 3005, WARWICK, RI, 02886, USA |
| Number | Name | File Date |
|---|---|---|
| 202448217240 | Annual Report | 2024-03-11 |
| 202339771330 | Statement of Change of Registered/Resident Agent | 2023-07-25 |
| 202327843690 | Annual Report | 2023-02-08 |
| 202105270450 | Annual Report | 2021-11-22 |
| 202187615840 | Annual Report | 2021-01-22 |
| 202187615480 | Annual Report | 2021-01-22 |
| 202034197570 | Annual Report | 2020-02-12 |
| 201859765160 | Articles of Organization | 2018-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2598348306 | 2021-01-21 | 0165 | PPS | 770 Aquidneck Ave, Middletown, RI, 02842-7288 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6434167001 | 2020-04-06 | 0165 | PPP | 770 AQUIDNECK AVE, MIDDLETOWN, RI, 02842-7246 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
