| Name: | HAZELTON FAMILY DENTAL P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Jul 2022 (3 years ago) |
| Identification Number: | 001743822 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 1029 RESERVOIR AVENUE, CRANSTON, RI, 02910, USA |
| Purpose: | DENTISTRY |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437885993 | 2022-07-27 | 2022-07-27 | 1029 RESERVOIR AVE, CRANSTON, RI, 029105134, US | 1029 RESERVOIR AVE, CRANSTON, RI, 029105134, US | |||||||||||||||
|
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| Phone | +1 401-943-1234 |
| Fax | 4019431297 |
Authorized person
| Name | DR. BRANDON HAZELTON |
| Role | INCORPORATOR |
| Phone | 4019431234 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRANDON C. HAZELTON, DMD | Agent | 1029 RESERVOIR AVENUE, CRANSTON, RI, 02910, USA |
| Name | Role | Address |
|---|---|---|
| BRANDON C HAZELTON DMD | PRESIDENT | 1029 RESERVOIR AVENUE CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202447736580 | Annual Report | 2024-03-04 |
| 202327905460 | Annual Report | 2023-02-08 |
| 202221679610 | Articles of Incorporation | 2022-07-26 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
