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DENTAL PARTNERS, PLLC

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Company Details

Name: DENTAL PARTNERS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Dec 2006 (18 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 183172
Place of Formation: IDAHO
File Number: 183172
ZIP code: 83651
County: Canyon County
Principal Address: 203 7TH AVE S NAMPA, ID 83651
Mailing Address: 203 7TH AVE S NAMPA, ID 83651-3846

Agent

Name Role Address
KLINT R KELLER Agent 203 7TH AVE S, NAMPA, ID 83651

Member

Name Role Address Appointed On
Jason Hammer Member 3039 SOUTH GRAND MERE DRIVE, NAMPA, ID 83686 2021-01-21

Manager

Name Role Address Appointed On
Kim Keller Manager 624 3RD ST S, NAMPA, ID 83651 2023-11-03

National Provider Identifier

NPI Number:
1962568782

Authorized Person:

Name:
MRS. KAT M MILTON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2084668436

Form 5500 Series

Employer Identification Number (EIN):
208085212
Plan Year:
2020
Number Of Participants:
46
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
25
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005974819 2024-11-08
Annual Report 0005456937 2023-11-03
Annual Report 0004984884 2022-11-07
Annual Report 0004478597 2021-11-03
Annual Report 0004140863 2021-01-21

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Date of last update: 28 May 2025

Sources: Idaho Secretary of State