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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
Principal Address: 3231 MENDON ROAD, CUMBERLAND, RI, 02864, USA
Purpose: DENTAL OFFICE
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548986755 2022-10-19 2022-10-19 3231 MENDON RD, CUMBERLAND, RI, 028642459, US 3231 MENDON RD, CUMBERLAND, RI, 028642459, US

Contacts

Phone +1 401-658-1888
Fax 4016583110

Authorized person

Name DR. MICHAEL ACCAOUI
Role PRESIDENT
Phone 4016581888

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDON DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2023 873955415 2024-07-17 MENDON DENTAL ASSOCIATES 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-15
Business code 621210
Sponsor’s telephone number 4019327256
Plan sponsor’s address 3231 MENDON ROAD, CUMBERLAND, RI, 02864
MENDON DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN 2022 873955415 2023-08-31 MENDON DENTAL ASSOCIATES 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-15
Business code 621210
Sponsor’s telephone number 4019327256
Plan sponsor’s address 3231 MENDON ROAD, CUMBERLAND, RI, 02864

Agent

Name Role Address
EDWARD JOHN MULLIGAN,ESQ. Agent 50 PARK ROW WEST SUITE 111, PROVIDENCE, RI, 02903, USA

PRESIDENT

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

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

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
202220337890 Revocation Notice For Failure to File An Annual Report 2022-06-27
202106924190 Articles of Incorporation 2021-12-09

Date of last update: 28 Oct 2024

Sources: Rhode Island Department of State