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Riverside Family Dental, LLC

Company Details

Name: Riverside Family Dental, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 12 Sep 2018 (7 years ago)
Identification Number: 001688142
ZIP code: 02915
County: Providence County
Purpose: DENTAL SERVICES
Principal Address: Google Maps Logo 1445 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA
Mailing Address: Google Maps Logo 1165 WASHINGTON ST, HANOVER, MA, 02339, USA

Contact Details

Phone +1 401-433-2400

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
THOMAS J. MOYLAN Agent 55 PINE STREET FIFTH FLOOR, PROVIDENCE, RI, 02903, USA

MANAGER

Name Role Address
MUNAL SALEM MANAGER 1445 WAMPANOAG TRAIL RIVERSIDE, RI 02915 USA

National Provider Identifier

NPI Number:
1811522063
Certification Date:
2020-03-09

Authorized Person:

Name:
DR. MUNAL S. SALEM
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
DEF0892 Dental X-ray Facility Active 2019-01-28 2025-08-31

Filings

Number Name File Date
202448073440 Annual Report 2024-03-08
202335711970 Annual Report 2023-05-16
202217956880 Annual Report 2022-05-30
202187832850 Annual Report 2021-01-26
202035773980 Annual Report 2020-03-03

USAspending Awards / Financial Assistance

Date:
2021-03-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
83790.00
Total Face Value Of Loan:
83790.00
Date:
2020-05-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
65100.00
Total Face Value Of Loan:
65100.00

Paycheck Protection Program

Date Approved:
2021-03-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
83790
Current Approval Amount:
83790
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
84590.66
Date Approved:
2020-05-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
65100
Current Approval Amount:
65100
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
65807.06

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State