| 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 |
| Principal Address: | 501 GREAT ROAD SUITE 101, NORTH SMITHFIELD, RI, 02896, USA |
| Purpose: | OPERATE A DENTAL PRACTICE AND PROVIDE SERVICES |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760029425 | 2019-12-02 | 2019-12-02 | 501 GREAT RD STE 101, NORTH SMITHFIELD, RI, 028966833, US | 501 GREAT RD STE 101, NORTH SMITHFIELD, RI, 028966833, US | |||||||||||||||
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| Phone | +1 401-309-6259 |
| Phone | +1 401-369-8167 |
Authorized person
| Name | MISS AMANDA LYN KIRWIN |
| Role | MANAGER |
| Phone | 4013096259 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRANCH VILLAGE DENTAL ASSOCIATES LLC 401(K) PLAN | 2023 | 843011395 | 2024-03-12 | BRANCH VILLAGE DENTAL ASSOCIATES LLC | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-12 |
| Name of individual signing | KYLE MALESRA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ADLER POLLOCK & SHEEHAN P.C. | Agent | 1 CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
| 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 |
| 202105519720 | Annual Report | 2021-11-30 |
| 202071943420 | Annual Report | 2020-10-29 |
| 202067880290 | Annual Report | 2020-10-23 |
| 201917281050 | Articles of Organization | 2019-09-03 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
