| 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 (10 months ago) |
| Identification Number: | 001775382 |
| Purpose: | DENTISTRY |
| Fictitious names: |
OMSDIC (trading name, 2024-07-18 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306681788 | 2024-06-27 | 2024-06-27 | 65 W MAIN RD, MIDDLETOWN, RI, 028424933, US | 65 W MAIN RD, MIDDLETOWN, RI, 028424933, US | |||||||||||||||
|
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| Phone | +1 401-848-0070 |
| Fax | 4018482225 |
Authorized person
| Name | MRS. VALERIE MERCER |
| Role | BILLING & ADMINISTRATIVE MANAGER |
| Phone | 4015955369 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DR. ALEXANDER GOMES | Agent | 142 FERREIRA AVENUE, PORTSMOUTH, RI, 02871, USA |
| Name | Role | Address |
|---|---|---|
| DR. ALEXANDER GOMES | INCORPORATOR | 142 FERREIRA AVENUE PORTSMOUTH, RI 02871 USA |
| Number | Name | File Date |
|---|---|---|
| 202458051120 | Fictitious Business Name Statement | 2024-07-18 |
| 202455918750 | Articles of Incorporation | 2024-06-17 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
