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Blackstone Endodontics, LLC

Company Details

Name: Blackstone Endodontics, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 11 Jan 2019 (6 years ago)
Identification Number: 001691796
ZIP code: 02864
County: Providence County
Purpose: ENDODONTICS SERVICES.
Principal Address: Google Maps Logo 2138 MENDON ROAD SUITE 102, CUMBERLAND, RI, 02864, USA
Mailing Address: Google Maps Logo 2138 MENDON RD SUITE 102, CUMBERLAND, RI, 02864, USA

Contact Details

Phone +1 401-405-4411

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
MARIYA SHNAYDMAN, DMD Agent 2138 MENDON ROAD UNIT 102, CUMBERLAND, RI, 02864, USA

National Provider Identifier

NPI Number:
1366046583
Certification Date:
2020-11-29

Authorized Person:

Name:
DR. MARIYA SHNAYDMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

Licenses

License No License Type Status Date Issued Expiration Date
DEF0901 Dental X-ray Facility Active 2019-09-26 2025-08-31

Filings

Number Name File Date
202451775960 Annual Report 2024-04-21
202339554230 Annual Report 2023-07-18
202337135710 Revocation Notice For Failure to File An Annual Report 2023-06-16
202221117770 Annual Report 2022-07-12
202219020020 Revocation Notice For Failure to File An Annual Report 2022-06-22

USAspending Awards / Financial Assistance

Date:
2020-05-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
94900.00
Total Face Value Of Loan:
94900.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
38900
Current Approval Amount:
38900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
39348.43

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State