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31 Elmgrove Dental LLC

Company Details

Name: 31 Elmgrove Dental LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 Mar 2018 (7 years ago)
Identification Number: 001682647
ZIP code: 02906
County: Providence County
Purpose: DENTISTRY
Fictitious names: Page Family Dentistry (trading name, 2021-11-23 - )
Principal Address: Google Maps Logo 194 CHACE AVE, PROVIDENCE, RI, 02906, 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

Agent

Name Role Address
MARC J PAGE Agent 194 CHACE AVE, PROVIDENCE, RI, 02906, USA

National Provider Identifier

NPI Number:
1225787708
Certification Date:
2022-03-08

Authorized Person:

Name:
MRS. JESSICA A POLAK
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
4014216450

Form 5500 Series

Employer Identification Number (EIN):
824866705
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Number Name File Date
202452133110 Annual Report 2024-04-23
202328377130 Annual Report 2023-02-14
202221244430 Annual Report 2022-07-14
202219277000 Revocation Notice For Failure to File An Annual Report 2022-06-22
202105308540 Fictitious Business Name Statement 2021-11-23

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State