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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
Principal Address: 2138 MENDON ROAD SUITE 102, CUMBERLAND, RI, 02864, USA
Mailing Address: 2138 MENDON RD SUITE 102, CUMBERLAND, RI, 02864, USA
Purpose: ENDODONTICS SERVICES.

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366046583 2020-11-29 2020-11-29 2138 MENDON RD STE 102, CUMBERLAND, RI, 028643832, US 2138 MENDON RD STE 102, CUMBERLAND, RI, 028643832, US

Contacts

Phone +1 401-405-4411

Authorized person

Name DR. MARIYA SHNAYDMAN
Role OWNER
Phone 4014054411

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

Agent

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

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
202207898480 Annual Report 2022-01-12
202106045480 Revocation Notice For Failure to File An Annual Report 2021-12-03
202192587040 Annual Report 2021-02-23
202037601740 Annual Report 2020-04-15
201984234120 Articles of Organization 2019-01-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3947067204 2020-04-27 0165 PPP 2138 MENDON RD STE 102, CUMBERLAND, RI, 02864-3832
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38900
Loan Approval Amount (current) 38900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 32883
Servicing Lender Name Avidia Bank
Servicing Lender Address 42 Main St, HUDSON, MA, 01749-2123
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address CUMBERLAND, PROVIDENCE, RI, 02864-3832
Project Congressional District RI-01
Number of Employees 3
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 32883
Originating Lender Name Avidia Bank
Originating Lender Address HUDSON, MA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 39348.43
Forgiveness Paid Date 2021-06-24

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State