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JONATHAN W. BAUTER, D.D.S., PLLC

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Company Details

Name: JONATHAN W. BAUTER, D.D.S., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Oct 2011 (14 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 332673
Place of Formation: IDAHO
File Number: 332673
ZIP code: 83706
County: Ada County
Principal Address: 210 W MALLARD DR E BOISE, ID 83706
Mailing Address: STE B 230 W MALLARD DR BOISE, ID 83706-3992

Agent

Name Role Address
JONATHAN W BAUTER DDS Agent 2733 S. SHADYWOOD WAY, BOISE, ID 83716

Member

Name Role Address Appointed On
Jonathan W Bauter Member 2733 S. SHADYWOOD WAY, BOISE, ID 83716 2020-09-27

National Provider Identifier

NPI Number:
1629449269

Authorized Person:

Name:
DR. JONATHAN BAUTER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005930875 2024-10-07
Annual Report 0005388426 2023-09-07
Annual Report 0004884768 2022-09-06
Annual Report 0004424146 2021-09-21
Annual Report 0004012149 2020-09-27

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State