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Providence Dental Sleep Center LLC

Company Details

Name: Providence Dental Sleep Center LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Feb 2021 (4 years ago)
Identification Number: 001718674
ZIP code: 02906
County: Providence County
Principal Address: 362 IVES STREET, PROVIDENCE, RI, 02906, USA
Purpose: PRACTICING SLEEP DENTISTRY
NAICS: 621498 - All Other Outpatient Care Centers

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023602356 2021-02-26 2021-02-26 362 IVES ST, PROVIDENCE, RI, 029063929, US 362 IVES ST, PROVIDENCE, RI, 029063929, US

Contacts

Phone +1 401-455-1252
Fax 4014219124

Authorized person

Name DR. MAHRA BETH RUBINSTEIN SHOCKET
Role OWNER/PRESIDENT
Phone 4014551252

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
EDWARD D. FELDSTEIN, ESQ. Agent 10 WEYBOSSET STREET SUITE 800, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202446583310 Annual Report 2024-02-16
202328014530 Annual Report 2023-02-09
202210079810 Annual Report 2022-02-11
202189018720 Articles of Organization 2021-02-01

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State