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CENTER FOR PLASTIC SURGERY, LLC

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Company Details

Name: CENTER FOR PLASTIC SURGERY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Nov 2004 (21 years ago)
Financial Date End: 30 Nov 2019
Date dissolved: 06 Feb 2020
Entity Number: 116065
Place of Formation: IDAHO
File Number: 116065
ZIP code: 83301
County: Twin Falls County
Principal Address: 1880 FILLMORE STREET TWIN FALLS, ID 83301
Mailing Address: 1880 FILLMORE AVE N TWIN FALLS, ID 83301-3015

Agent

Name Role Address
DELL P SMITH MD Agent 1880 FILLMORE STREET, TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1154577203

Authorized Person:

Name:
DELL P SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087340434

Form 5500 Series

Employer Identification Number (EIN):
201915395
Plan Year:
2023
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
24
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003772508 2020-02-06
Annual Report 0003399704 2019-01-17
Annual Report 0001361128 2017-09-18
Annual Report 0001361127 2016-09-28
Annual Report 0001361126 2015-09-17

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Date of last update: 27 May 2025

Sources: Idaho Secretary of State