| Name: | MyOrthos Rhode Island Orthodontics, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 29 Nov 2021 (3 years ago) |
| Date of Dissolution: | 12 Sep 2023 (2 years ago) |
| Date of Status Change: | 12 Sep 2023 (2 years ago) |
| Identification Number: | 001732529 |
| Principal Address: | 131 DARTMOUTH STREET FLOOR 3, BOSTON, MA, 02116, USA |
| Purpose: | DENTAL |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376386920 | 2024-06-13 | 2024-06-13 | 131 DARTMOUTH ST FL 3, BOSTON, MA, 021165297, US | 24 SALT POND RD STE C1, WAKEFIELD, RI, 028794304, US | |||||||||||||||
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| Phone | +1 617-665-7241 |
| Phone | +1 401-783-9890 |
Authorized person
| Name | CASEY LONABOCKER |
| Role | VICE PRESIDENT STRATEGY & OPERATION |
| Phone | 5083457059 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| FRANK A DEQUATTRO | PRESIDENT | 131 DARTMOUTH STREET, 3RD FLOOR BOSTON , MA 02116 USA |
| Number | Name | File Date |
|---|---|---|
| 202341562780 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202338260510 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202326932250 | Annual Report | 2023-01-30 |
| 202326931550 | Reinstatement | 2023-01-30 |
| 202224015370 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
| 202220335210 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202105466330 | Articles of Incorporation | 2021-11-29 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
