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Chan Orthodontic Dentistry, LLC

Company Details

Name: Chan Orthodontic Dentistry, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 16 Jul 2018 (7 years ago)
Identification Number: 001686313
ZIP code: 02864
County: Providence County
Principal Address: 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA
Mailing Address: 501 GREAT ROAD UNIT # 106, NORTH SMITHFIELD, RI, 02896, USA
Purpose: PEDIATRIC DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013483981 2018-10-18 2018-10-18 2359 MENDON RD, CUMBERLAND, RI, 028643707, US 2359 MENDON RD, CUMBERLAND, RI, 028643707, US

Contacts

Phone +1 401-334-3070
Fax 4013349031

Authorized person

Name MRS. TINA MATOS
Role BOOKKEEPER
Phone 4013343070

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role Address
EDWARD F. YAZBAK Agent 501 GREAT ROAD UNIT 106, NORTH SMITHFIELD, RI, 02896, USA

Filings

Number Name File Date
202444182740 Annual Report 2024-01-18
202327375290 Annual Report 2023-02-03
202222299790 Annual Report 2022-08-18
202219941370 Annual Report 2022-06-24
202219924120 Statement of Change of Registered/Resident Agent 2022-06-23
202219300870 Revocation Notice For Failure to File An Annual Report 2022-06-22
202103349130 Annual Report 2021-10-15
202195966860 Annual Report 2021-04-26
202194275080 Revocation Notice For Failure to File An Annual Report 2021-03-16
201921423840 Annual Report 2019-09-25

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State