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LAKE CITY DENTAL, LLC

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Company Details

Name: LAKE CITY DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Jan 2011 (15 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 307501
Place of Formation: IDAHO
File Number: 307501
ZIP code: 83835
County: Kootenai County
Principal Address: PO BOX 2411 HAYDEN, ID 83835
Mailing Address: PO BOX 2411 HAYDEN, ID 83835-2411

Agent

Name Role Address
GARY BILLS Agent 6176 N GOVERNMENT WAY, COEUR D ALENE, ID 83815

Member

Name Role Address Appointed On
Natalie M Steading Member 797 W PEACH TREE DR, HAYDEN, ID 83835 2023-12-05
Erin Bills Member 901 E SEA HORSE CT, SARATOGA SPRINGS, UT 84045 2021-01-25

National Provider Identifier

NPI Number:
1275871329

Authorized Person:

Name:
GARY BILLS
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006059167 2025-01-09
Annual Report 0005501274 2023-12-05
Annual Report 0005042747 2022-12-30
Annual Report 0004626884 2022-03-01
Annual Report 0004143433 2021-01-25

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State