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Jefferson Dental Associates II, LLC

Company Details

Name: Jefferson Dental Associates II, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 26 Nov 2018 (7 years ago)
Identification Number: 001690282
ZIP code: 02888
County: Kent County
Purpose: DENTAL PRACTICE
Principal Address: Google Maps Logo 222 JEFFERSON BLVD STE 100, WARWICK, RI, 02888, USA
Mailing Address: Google Maps Logo 222 JEFFERSON BLVD, WARWICK, RI, 02888, 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
TORI CARBONE Agent 931 JEFFERSON BOULEVARD SUITE 3005, WARWICK, RI, 02886, USA

National Provider Identifier

NPI Number:
1134689128

Authorized Person:

Name:
DR. MICHAEL CAPABLO
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202448978060 Annual Report 2024-03-20
202339770360 Statement of Change of Registered/Resident Agent 2023-07-25
202328583360 Annual Report 2023-02-16
202105270630 Annual Report 2021-11-22
202187727660 Annual Report 2021-01-25

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
66790.00
Total Face Value Of Loan:
66790.00
Date:
2020-04-07
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:
66790.00
Total Face Value Of Loan:
66790.00

Paycheck Protection Program

Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
66790
Current Approval Amount:
66790
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
67316.9
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
66790
Current Approval Amount:
66790
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
67524.69

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State