| Name: | Social Street Dental, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 13 Apr 2018 (7 years ago) |
| Date of Dissolution: | 30 Dec 2020 (4 years ago) |
| Date of Status Change: | 30 Dec 2020 (4 years ago) |
| Identification Number: | 001683426 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 515 SOCIAL STREET, WOONSOCKET, RI, 02895, USA |
| Purpose: | DENTISTRY |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194215160 | 2018-05-15 | 2018-08-17 | 515 SOCIAL ST, WOONSOCKET, RI, 028952043, US | 515 SOCIAL ST, WOONSOCKET, RI, 028952043, US | |||||||||||||||||||
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| Phone | +1 401-597-5920 |
| Fax | 4015975924 |
Authorized person
| Name | JOSEFA RIVERA |
| Role | OFFICE ASSISTANT |
| Phone | 4019211575 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| License Number | DEN02637 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHN L. MILLER | Agent | 41 SANDERSON ROAD #106, SMITHFIELD, RI, 02917, USA |
| Name | Role | Address |
|---|---|---|
| JOHN MILLER | INCORPORATOR | 515 SOCIAL STREET WOONSOCKET, RI 02895 USA |
| Number | Name | File Date |
|---|---|---|
| 202082924380 | Revocation Certificate For Failure to File the Annual Report for the Year | 2020-12-30 |
| 202055185110 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201921345340 | Annual Report | 2019-09-25 |
| 201907243330 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201986166410 | Statement of Change of Registered/Resident Agent | 2019-02-07 |
| 201984381310 | Agent Resigned | 2019-01-14 |
| 201862074220 | Articles of Incorporation | 2018-04-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4650387308 | 2020-04-30 | 0165 | PPP | 515 SOCIAL ST, WOONSOCKET, RI, 02895-2043 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
