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Branch Village Dental Associates, LLC

Company Details

Name: Branch Village Dental Associates, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 03 Sep 2019 (6 years ago)
Identification Number: 001699599
ZIP code: 02896
County: Providence County
Purpose: OPERATE A DENTAL PRACTICE AND PROVIDE SERVICES
Principal Address: Google Maps Logo 501 GREAT ROAD SUITE 101, NORTH SMITHFIELD, RI, 02896, USA

Contact Details

Phone +1 401-766-5428

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
ADLER POLLOCK & SHEEHAN P.C. Agent 1 CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1760029425

Authorized Person:

Name:
MISS AMANDA LYN KIRWIN
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
843011395
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
DEF0925 Dental X-ray Facility Active 2020-09-28 2025-08-31

Filings

Number Name File Date
202447743010 Annual Report 2024-03-04
202447740730 Statement of Change of Registered/Resident Agent 2024-03-04
202329078720 Annual Report 2023-02-22
202214629660 Annual Report 2022-04-13
202207769140 Statement of Change of Registered/Resident Agent 2022-01-10

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 13 May 2025

Sources: Rhode Island Department of State