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Spartan Dental of Cranston, LLC

Company Details

Name: Spartan Dental of Cranston, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 05 Nov 2021 (3 years ago)
Identification Number: 001731649
ZIP code: 02920
County: Providence County
Principal Address: 105 SOCKNOSSET CROSS ROAD #316, CRANSTON, RI, 02920, USA
Mailing Address: 1165 WASHINGTON ST, HANOVER, MA, 02339, USA
Purpose: DENTAL OFFICE.
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114683141 2021-11-15 2021-11-15 105 SOCKANOSSET CROSS RD, CRANSTON, RI, 029205560, US 105 SOCKANOSSET CROSS RD, CRANSTON, RI, 029205560, US

Contacts

Phone +1 401-383-7569

Authorized person

Name MUNAL S. SALEM
Role DENTIST/OWNER
Phone 7813673369

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
MUNAL SALEM Agent 105 SOCKANOSSET CROSS ROAD #316, CRANSTON, RI, 02920, USA

Filings

Number Name File Date
202448074960 Annual Report 2024-03-08
202332687160 Annual Report 2023-04-11
202222161790 Annual Report 2022-08-15
202219711090 Revocation Notice For Failure to File An Annual Report 2022-06-22
202104770410 Articles of Organization 2021-11-05

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State