| 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 |
| Principal Address: | 67 PHENIX STREET, CRANSTON, RI, 02920, US |
| Purpose: | DENTAL 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053803825 | 2018-06-06 | 2018-06-06 | 64 PINE ST, DOVER, MA, 020302426, US | 67 PHENIX AVE, CRANSTON, RI, 029204233, US | |||||||||||||||||
|
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| Phone | +1 617-818-0573 |
Authorized person
| Name | DR. ATHANASIOS ZAVRAS |
| Role | PRESIDENT |
| Phone | 6178180573 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DEN03342 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ATHANASIOS ZAVRAS | Agent | 67 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| ATHANASIOS ZAVRAS | PRESIDENT | 64 PINE STREET D, MA 0 US |
| 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 |
| 202199730700 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196973740 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202037918280 | Annual Report | 2020-04-20 |
| 201987925520 | Annual Report | 2019-03-01 |
| 201868026980 | Articles of Incorporation | 2018-06-01 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
