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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
Purpose: PEDIATRIC DENTISTRY
Principal Address: Google Maps Logo 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA
Mailing Address: Google Maps Logo 501 GREAT ROAD UNIT # 106, NORTH SMITHFIELD, RI, 02896, 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
EDWARD F. YAZBAK Agent 501 GREAT ROAD UNIT 106, NORTH SMITHFIELD, RI, 02896, USA

National Provider Identifier

NPI Number:
1013483981

Authorized Person:

Name:
MRS. TINA MATOS
Role:
BOOKKEEPER
Phone:

Taxonomy:

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

Contacts:

Fax:
4013349031

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

Date of last update: 13 May 2025

Sources: Rhode Island Department of State