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MENDON DENTAL ASSOCIATES, PC

Company Details

Name: MENDON DENTAL ASSOCIATES, PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 09 Dec 2021 (3 years ago)
Identification Number: 001732969
ZIP code: 02864
County: Providence County
Purpose: DENTAL OFFICE
Principal Address: Google Maps Logo 3231 MENDON ROAD, CUMBERLAND, RI, 02864, USA

Contact Details

Phone +1 401-658-1888

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

PRESIDENT

Name Role Address
MICHAEL ACCAOUI PRESIDENT 3231 MENDON ROAD CUMBERLAND, RI 02864 USA

Agent

Name Role Address
ROBERT C SALMANI CPA Agent C/O WADOVICK & COMPANY 1300 DIVISION ROAD SUITE 104, WEST WARWICK, RI, 02893, USA

National Provider Identifier

NPI Number:
1548986755
Certification Date:
2022-10-19

Authorized Person:

Name:
DR. MICHAEL ACCAOUI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
4016583110

Form 5500 Series

Employer Identification Number (EIN):
873955415
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Merged 2022-08-29 Benedict J. Ingegneri, Jr., D.M.D., P.C., Inc. on MENDON DENTAL ASSOCIATES, PC

Licenses

License No License Type Status Date Issued Expiration Date
DEF0987 Dental X-ray Facility Active 2024-08-21 2025-08-31

Filings

Number Name File Date
202446738530 Annual Report 2024-02-14
202339455050 Annual Report 2023-07-13
202338261580 Revocation Notice For Failure to File An Annual Report 2023-06-19
202222517100 Articles of Merger 2022-08-29
202221496280 Annual Report 2022-07-20

Date of last update: 14 May 2025

Sources: Rhode Island Department of State