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Reservoir Dental LLC

Company Details

Name: Reservoir Dental LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 23 Mar 2023 (2 years ago)
Identification Number: 001754977
ZIP code: 02806
County: Bristol County
Purpose: DENTAL OFFICE
Principal Address: Google Maps Logo 47 WOOD AVE SUITE 2, BARRINGTON, RI, 02806, USA

Contact Details

Phone +1 401-400-8868

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
NORTHWEST REGISTERED AGENT LLC Agent 700 NARRAGANSETT PARK DR STE 100, PAWTUCKET, RI, 02861, USA

National Provider Identifier

NPI Number:
1609553759
Certification Date:
2023-06-30

Authorized Person:

Name:
DR. VLAD BOTEZATU
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
4014062710

Licenses

License No License Type Status Date Issued Expiration Date
DEF0973 Dental X-ray Facility Active 2023-08-29 2025-08-31

Filings

Number Name File Date
202451523840 Annual Report 2024-04-19
202331583490 Articles of Organization 2023-03-23
202567775960 Statement of Change of Registered/Resident Agent Office 2025-03-21
202565463490 Annual Report 2025-02-22

Date of last update: 15 May 2025

Sources: Rhode Island Department of State