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BRIGHTSIDE DENTAL PLLC

BRIGHTSIDE DENTAL PLLC

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Company Details

Name:	BRIGHTSIDE DENTAL PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	30 Jan 2019 (6 years ago)
Financial Date End:	31 Jan 2026
Entity Number:	3417522
Place of Formation:	IDAHO
File Number:	652685
ZIP code:	83442
County:	Jefferson County
Principal Address:	BEN R. DANSIE 302 N. 3823 E. RIGBY, ID 83442
Mailing Address:	BEN R. DANSIE 302 N 3823 E RIGBY, ID 83442-5723

Agent

Name	Role	Address
Ben R. Dansie	Agent	302 N 3823 E, RIGBY, ID 83442

Manager

Name	Role	Address	Appointed On
Ben Dansie	Manager	302 N 3823 E, RIGBY, ID 83442	2021-10-27

National Provider Identifier

NPI Number:

1386493260

Certification Date:

2024-05-14

Link:

View on NPI website

Authorized Person:

Name:

BEN DANSIE

Role:

PRESIDENT

Phone:

2087451911

Taxonomy:

Selected Taxonomy:

1223G0001X - General Practice Dentistry

Is Primary:

Yes

Contacts:

Phone:

+1 208-745-1911

Fax:

2087458566

Filing

Filing Name	Filing Number	Filing date
Annual Report	0006000678	2024-12-03
Amendment to Certificate	0005604403	2024-02-15
Annual Report	0005495928	2023-12-04
Annual Report	0005010634	2022-12-05
Annual Report	0004511744	2021-12-03

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State