| 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 Dentists |
| 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 | |||||||||||||||
|
|||||||||||||||||||
| 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
