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GUY M. HANSON, D.D.S., P.A.

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Company Details

Name: GUY M. HANSON, D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 May 1987 (38 years ago)
Financial Date End: 31 May 2022
Date dissolved: 12 Aug 2022
Entity Number: 261299
Place of Formation: IDAHO
File Number: 261299
ZIP code: 83644
County: Canyon County
Mailing Address: 8605 SILVERWOOD WAY MIDDLETON, ID 83644-6086

Agent

Name Role Address
GUY M. HANSON Agent 8605 SILVERWOOD WAY, MIDDLETON, ID 83644

President

Name Role Address Appointed On
GUY M HANSON President 8605 SILVERWOOD WAY, MIDDLETON, ID 83644 2021-04-03

National Provider Identifier

NPI Number:
1255590105

Authorized Person:

Name:
DR. GUY MATTHEW HANSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004859103 2022-08-12
Annual Report 0004226392 2021-04-03
Annual Report 0003829837 2020-04-03
Annual Report 0003485968 2019-04-21
Annual Report 0002008086 2018-04-02

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State