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Cranston Pediatric Dentistry PC

Company Details

Name: Cranston Pediatric Dentistry PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Jun 2018 (7 years ago)
Identification Number: 001684979
ZIP code: 02920
County: Providence County
Purpose: DENTAL OFFICE
Principal Address: Google Maps Logo 67 PHENIX STREET, CRANSTON, RI, 02920, US

Contact Details

Phone +1 401-473-0400

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
ATHANASIOS ZAVRAS Agent 67 PHENIX AVENUE, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
ATHANASIOS ZAVRAS PRESIDENT 64 PINE STREET D, MA 0 US

National Provider Identifier

NPI Number:
1053803825

Authorized Person:

Name:
DR. ATHANASIOS ZAVRAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
DFP02691 Dental Anesthesia Facility Active 2021-04-01 2026-04-01
DEF0911 Dental X-ray Facility Active 2020-02-28 2025-08-31

Filings

Number Name File Date
202446314220 Annual Report 2024-02-13
202326755930 Annual Report 2023-01-27
202211464570 Annual Report 2022-02-23
202104565520 Annual Report 2021-11-03
202104565340 Reinstatement 2021-11-03

Date of last update: 02 Jun 2025

Sources: Rhode Island Department of State