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IDAHO DENTAL AID PLLC

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Company Details

Name: IDAHO DENTAL AID PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 May 2009 (16 years ago)
Financial Date End: 31 May 2026
Entity Number: 261582
Place of Formation: IDAHO
File Number: 261582
ZIP code: 83651
County: Canyon County
Principal Address: 604 3RD ST S. NAMPA, ID 83651
Mailing Address: 987 S RISING SUN DR #101 NAMPA, ID 83686

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On
Zane Palmer Manager 604 3RD ST S, NAMPA, ID 83651 2021-05-15

National Provider Identifier

NPI Number:
1912342544
Certification Date:
2022-03-25

Authorized Person:

Name:
MADISON LEHMAN
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2084662294

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271462 2025-05-27
Annual Report 0006206452 2025-04-14
Annual Report 0005695783 2024-04-17
Annual Report 0005201845 2023-04-14
Registered Agent Name/Address Change (mass change) 0004894422 2022-09-12

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State