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Oral Maxillofacial Surgery and Dental Implant Center PC

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Company Details

Name: Oral Maxillofacial Surgery and Dental Implant Center PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 17 Jun 2024 (a year ago)
Identification Number: 001775382
ZIP code: 02842
County: Newport County
Purpose: DENTISTRY
Fictitious names: OMSDIC (trading name, 2024-07-18 - )
Principal Address: Google Maps Logo 65 WEST MAIN ROAD, MIDDLETOWN, RI, 02842, USA

Contact Details

Phone +1 401-848-0070

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
DR. ALEXANDER GOMES Agent 142 FERREIRA AVENUE, PORTSMOUTH, RI, 02871, USA

INCORPORATOR

Name Role Address
DR. ALEXANDER GOMES INCORPORATOR 142 FERREIRA AVENUE PORTSMOUTH, RI 02871 USA

National Provider Identifier

NPI Number:
1306681788
Certification Date:
2024-06-27

Authorized Person:

Name:
MRS. VALERIE MERCER
Role:
BILLING & ADMINISTRATIVE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
4018482225

Licenses

License No License Type Status Date Issued Expiration Date
DFP02708 Dental Anesthesia Facility Active 2024-12-12 2029-12-12
DEF0990 Dental X-ray Facility Active 2024-08-26 2025-08-31

Filings

Number Name File Date
202458051120 Fictitious Business Name Statement 2024-07-18
202455918750 Articles of Incorporation 2024-06-17
202571048120 Annual Report 2025-04-23

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Date of last update: 07 Jun 2025

Sources: Rhode Island Department of State