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CASTLEBURY DENTAL, LLC

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Company Details

Name: CASTLEBURY DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Dec 2007 (17 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 218750
Place of Formation: IDAHO
File Number: 218750
ZIP code: 83616
County: Ada County
Principal Address: 3209 W BAVARIA ST EAGLE, ID 83616-5171

Manager

Name Role Address Appointed On
Jacob Brown Manager 3209 W. BAVARIA STREET, EAGLE, ID 83616 2020-11-03

Agent

Name Role Address
SHANNON LOVE Agent 3209 W BAVARIA ST, EAGLE, ID 83616

National Provider Identifier

NPI Number:
1881835353

Authorized Person:

Name:
JENNIFER WEBSTER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088552582

Form 5500 Series

Employer Identification Number (EIN):
262748617
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005961264 2024-11-04
Annual Report 0005469282 2023-11-07
Annual Report 0004972566 2022-11-03
Annual Report 0004478922 2021-11-03
Annual Report 0004049389 2020-11-03

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State