| 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 |
| Principal Address: | 1445 WAMPANOAG TRAIL, RIVERSIDE, RI, 02915, USA |
| Mailing Address: | 1165 WASHINGTON ST SUITE 383, HANOVER, MA, 02339, USA |
| Purpose: | DENTAL SERVICES |
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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811522063 | 2020-03-09 | 2020-03-09 | 20 NEWMAN AVE, RUMFORD, RI, 029161960, US | 20 NEWMAN AVE, RUMFORD, RI, 029161960, US | |||||||||||||
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| Phone | +1 401-434-4304 |
Authorized person
| Name | DR. MUNAL S. SALEM |
| Role | DENTIST/OWNER |
| Phone | 7813673369 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS J. MOYLAN | Agent | 55 PINE STREET FIFTH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MUNAL SALEM | MANAGER | 1445 WAMPANOAG TRAIL RIVERSIDE, RI 02915 USA |
| 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 |
| 201994147210 | Annual Report | 2019-05-24 |
| 201877275250 | Articles of Organization | 2018-09-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5860168507 | 2021-03-02 | 0165 | PPS | 1445 Wampanoag Trl Unit 209, Riverside, RI, 02915-1019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6179307400 | 2020-05-14 | 0165 | PPP | 1445 WAMPANOAG TRL UNIT 209, RIVERSIDE, RI, 02915-1019 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
