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TOM DAVIES, D.D.S., PLLC

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Company Details

Name: TOM DAVIES, D.D.S., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jan 2012 (14 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 338486
Place of Formation: IDAHO
File Number: 338486
ZIP code: 83826
County: Boundary County
Principal Address: PO BOX 160 EASTPORT, ID 83826
Mailing Address: 103 W SUPERIOR ST SANDPOINT, ID 83864-1601

Agent

Name Role Address
TOM DAVIES Agent 3688 WRENCO LOOP ROAD, SANDPOINT, ID 83864

Manager

Name Role Address Appointed On
Thomas Davies Manager 103 W. SUPERIOR STREET, SANDPOINT, ID 83864 2021-01-03

National Provider Identifier

NPI Number:
1205106945

Authorized Person:

Name:
DR. THOMAS DAVIES
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8882226516

Form 5500 Series

Employer Identification Number (EIN):
454217511
Plan Year:
2024
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006016773 2024-12-08
Annual Report 0005496531 2023-12-04
Annual Report 0005008606 2022-12-03
Annual Report 0004518007 2021-12-06
Annual Report 0004113086 2021-01-03

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State