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Nordstrom Orthodontics LLC

Company Details

Name: Nordstrom Orthodontics LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 10 Mar 2022 (3 years ago)
Identification Number: 001737335
ZIP code: 02919
County: Providence County
Purpose: ORTHODONTICS
Fictitious names: Nordstrom Orthodontics (trading name, 2022-12-05 - )
Principal Address: Google Maps Logo 1226 HARTFORD AVE SUITE 101, JOHNSTON, RI, 02919, USA

Contact Details

Phone +1 401-331-7171
+1 401-884-9650

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

Agent

Name Role Address
REGISTERED AGENTS INC Agent 700 NARRAGANSETT PARK DR STE 100, PAWTUCKET, RI, 02861, USA

Manager

Name Role Address
BARRETT NORDSTROM DDS Manager 1226 HARTFORD AVE, SUITE 101 JOHNSTON, RI 02919 USA

National Provider Identifier

NPI Number:
1255041034
Certification Date:
2022-12-01

Authorized Person:

Name:
DR. BARRETT NORDSTROM
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fax:
4013312755

Licenses

License No License Type Status Date Issued Expiration Date
DEF0964 Dental X-ray Facility Active 2023-05-05 2025-08-31
DEF0965 Dental X-ray Facility Active 2023-05-05 2025-08-31

Filings

Number Name File Date
202451982430 Annual Report 2024-04-22
202339386110 Annual Report 2023-07-12
202337013810 Revocation Notice For Failure to File An Annual Report 2023-06-16
202225046300 Fictitious Business Name Statement 2022-12-05
202212542510 Articles of Organization 2022-03-10

Date of last update: 15 May 2025

Sources: Rhode Island Department of State