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 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 | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548986755 | 2022-10-19 | 2022-10-19 | 3231 MENDON RD, CUMBERLAND, RI, 028642459, US | 3231 MENDON RD, CUMBERLAND, RI, 028642459, US | |||||||||||||||
|
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 |
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 | |||||||||||||
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MENDON DENTAL ASSOCIATES 401(K) PROFIT SHARING PLAN | 2022 | 873955415 | 2023-08-31 | MENDON DENTAL ASSOCIATES | 20 | |||||||||||||
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Name | Role | Address |
---|---|---|
EDWARD JOHN MULLIGAN,ESQ. | Agent | 50 PARK ROW WEST SUITE 111, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
MICHAEL ACCAOUI | PRESIDENT | 3231 MENDON ROAD CUMBERLAND, RI 02864 USA |
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 |
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