| 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 (6 years ago) |
| Identification Number: | 001690282 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 222 JEFFERSON BLVD STE 100, WARWICK, RI, 02888, USA |
| Mailing Address: | 222 JEFFERSON BLVD, WARWICK, RI, 02888, USA |
| Purpose: | DENTAL PRACTICE |
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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134689128 | 2019-03-25 | 2019-03-25 | 222 JEFFERSON BLVD, WARWICK, RI, 028883847, US | 222 JEFFERSON BLVD, WARWICK, RI, 028883847, US | |||||||||||||
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| Phone | +1 401-739-2350 |
Authorized person
| Name | DR. MICHAEL CAPABLO |
| Role | DENTIST |
| Phone | 4017417395 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TORI CARBONE | Agent | 931 JEFFERSON BOULEVARD SUITE 3005, WARWICK, RI, 02886, USA |
| 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 |
| 202187726870 | Annual Report | 2021-01-25 |
| 202036665400 | Annual Report | 2020-03-23 |
| 201881694180 | Articles of Organization | 2018-11-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4024618304 | 2021-01-22 | 0165 | PPS | 222 Jefferson Blvd Ste 100, Warwick, RI, 02888-3855 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6437807009 | 2020-04-06 | 0165 | PPP | 222 JEFFERSON BLVD, WARWICK, RI, 02888-2055 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
