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Cumberland Dental Specialists, Inc.

Company Details

Name: Cumberland Dental Specialists, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 17 Mar 2021 (4 years ago)
Identification Number: 001720822
ZIP code: 02864
County: Providence County
Purpose: PEDIATRIC DENTISTRY
Principal Address: Google Maps Logo 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA

Contact Details

Phone +1 401-334-3070

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
BENJAMIN CHAN Agent 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA

PRESIDENT

Name Role Address
BENJAMIN CHAN PRESIDENT 2359 MENDON ROAD CUMBERLAND, RI 02864 USA

National Provider Identifier

NPI Number:
1851966204
Certification Date:
2021-05-26

Authorized Person:

Name:
MRS. CYNTHIA EVELYN PRICE
Role:
HR MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862753137
Plan Year:
2023
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:

Licenses

License No License Type Status Date Issued Expiration Date
DFP02694 Dental Anesthesia Facility Active 2021-10-06 2026-10-06
DEF0933 Dental X-ray Facility Active 2021-08-18 2025-08-31

Filings

Number Name File Date
202444689500 Annual Report 2024-01-25
202334004460 Annual Report 2023-04-26
202218577480 Annual Report 2022-06-15
202195625460 Certificate of Correction 2021-04-09
202194657570 Articles of Incorporation 2021-03-17

Date of last update: 14 May 2025

Sources: Rhode Island Department of State