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DR. KACI B. JENSEN, PLLC

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Company Details

Name: DR. KACI B. JENSEN, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Jan 2008 (18 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 221059
Place of Formation: IDAHO
File Number: 221059
ZIP code: 83709
County: Ada County
Principal Address: 9755 W LEO DR BOISE, ID 83709
Mailing Address: 9755 W LEO DR BOISE, ID 83709-8249

Agent

Name Role Address
DR KACI B JENSEN Agent 9755 W LEO DR, BOISE, ID 83709

Member

Name Role Address Appointed On
Kaci Jensen Member 9755 W LEO DR, BOISE, ID 83709 2020-12-04

National Provider Identifier

NPI Number:
1255339297

Authorized Person:

Name:
DR. KACI B. JENSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006006958 2024-12-04
Annual Report 0005564991 2024-01-18
Annual Report 0005037822 2022-12-23
Annual Report 0004534590 2021-12-17
Annual Report 0004088048 2020-12-04

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State