| 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 |
| Principal Address: | 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA |
| Purpose: | PEDIATRIC DENTISTRY |
| NAICS: | 621210 - Offices of Dentists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851966204 | 2021-05-26 | 2021-05-26 | 2359 MENDON RD, CUMBERLAND, RI, 028643707, US | 2359 MENDON RD, CUMBERLAND, RI, 028643707, US | |||||||||||||
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| Phone | +1 401-334-3070 |
Authorized person
| Name | MRS. CYNTHIA EVELYN PRICE |
| Role | HR MANAGER |
| Phone | 4013343070 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CUMBERLAND DENTAL SPECIALISTS, INC. 401(K) PLAN | 2023 | 862753137 | 2024-10-09 | CUMBERLAND DENTAL SPECIALISTS, INC. | 22 | |||||||||||||||||||||||||||||||||
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| CUMBERLAND DENTAL SPECIALISTS, INC. 401(K) PLAN | 2022 | 862753137 | 2023-10-16 | CUMBERLAND DENTAL SPECIALISTS, INC. | 19 | |||||||||||||||||||||||||||||||||
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| CUMBERLAND DENTAL SPECIALISTS, INC. 401(K) PLAN | 2022 | 862753137 | 2024-10-09 | CUMBERLAND DENTAL SPECIALISTS, INC. | 19 | |||||||||||||||||||||||||||||||||
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| CUMBERLAND DENTAL SPECIALISTS, INC. 401(K) PLAN | 2021 | 862753137 | 2022-10-14 | CUMBERLAND DENTAL SPECIALISTS, INC. | 18 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | BENJAMIN CHAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-14 |
| Name of individual signing | BENJAMIN CHAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BENJAMIN CHAN | Agent | 2359 MENDON ROAD, CUMBERLAND, RI, 02864, USA |
| Name | Role | Address |
|---|---|---|
| BENJAMIN CHAN | PRESIDENT | 2359 MENDON ROAD CUMBERLAND, RI 02864 USA |
| 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: 28 Oct 2024
Sources: Rhode Island Department of State
