| Entity Name: | DELTA DENTAL OF NEW JERSEY, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 03 Jul 1995 |
| Business ALEI: | 0518215 |
| Annual report due: | 03 Jul 2025 |
| NAICS code: | 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds |
| Business address: | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States |
| Mailing address: | 1639 ROUTE 10, PARSIPPANY, NJ, United States, 07054 |
| Place of Formation: | NEW JERSEY |
| E-Mail: | PDIMAIO@DELTADENTALNJ.COM |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| DAVID SCOTT | Agent | 148 EASTERN BLVD, SUITE 301, GLASTONBURY, CT, 06033, United States | +1 860-488-1764 | dscott@deltadentalct.com | 244 NORTH SHORE RD, DAYVILLE, CT, 06241, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| RICHARD G. BOZZA | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 257 EAST HIGHLAND AVENUE, ATLANTIC HIGHLANDS, NJ, 07716, United States |
| MORTON REINHART | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 4850 Ryan Greenbaum Drive, Apt. 3608, West Palm Beach, FL, 33417, United States |
| DEBRA A. SALMAN DDS | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 12651 Vincenza Way, Boynton Beach, FL, 33473-7119, United States |
| JORGE GRACIA | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 2354 Alexander Palm Drive, Naples, FL, 34105, United States |
| JOSEPH P. MAZZA D.M.D. | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 286 RIDGE ROAD, RUTHERFORD, NJ, 07070, United States |
| LISA GALLUCCI DMD | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 6 PENNY LANE, MEDFORD, NJ, 08055, United States |
| RONALD I. DEBLINGER DMD | Director | DELTA DENTAL OF NEW JERSEY, INC., 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 1148 Crystal Dr, Palm Beach Gardens, FL, 33418-4031, United States |
| Nicole McGrath Barnes, DDS, FACD | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 14312 Driftwood Rd, Bowie, MD, 20721-3044, United States |
| JAY H. OYER | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 525 13TH AVENUE S, NAPLES, FL, 34102, United States |
| WILLIAM J. FAULKNER | Director | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 4 BILLS LANE, MONTAGUE, NJ, 07827, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Karim Bennis | Officer | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 29 Hunnewell Street, Wellesley, MA, 02481, United States |
| PAUL J. DI MAIO | Officer | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 14 DOGWOOD DRIVE, MORRISTOWN, NJ, 07960, United States |
| DENNIS G. WILSON | Officer | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 2 BAILEYS MILL ROAD, BASKING RIDGE, NJ, 07920, United States |
| MICHAEL T. RODRIGUES | Officer | C/O DELTA DENTAL OF NEW JERSEY, INC 1639 ROUTE 10, PARSIPPANY, NJ, 07054, United States | 112 Lake Drive W, Wayne, NJ, 07470, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | DELTA DENTAL PLAN OF NEW JERSEY, INC. | DELTA DENTAL OF NEW JERSEY, INC. | 2005-08-11 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012361010 | 2024-06-11 | No data | Annual Report | Annual Report | No data |
| BF-0012663296 | 2024-06-11 | 2024-06-11 | Change of NAICS Code | NAICS Code Change | No data |
| BF-0011253931 | 2023-06-09 | No data | Annual Report | Annual Report | No data |
| BF-0010259364 | 2022-06-21 | No data | Annual Report | Annual Report | 2022 |
| BF-0009760254 | 2021-06-22 | No data | Annual Report | Annual Report | No data |
| 0006944175 | 2020-07-10 | 2020-07-10 | Change of NAICS Code | NAICS Code Change | No data |
| 0006918879 | 2020-06-05 | No data | Annual Report | Annual Report | 2020 |
| 0006578873 | 2019-06-18 | No data | Annual Report | Annual Report | 2019 |
| 0006212148 | 2018-07-09 | No data | Annual Report | Annual Report | 2018 |
| 0005884326 | 2017-07-10 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
