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IKDO South Meridian LLC

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Company Details

Name: IKDO South Meridian LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 27 Apr 2020 (5 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 14 Aug 2023
Entity Number: 3852764
Place of Formation: IDAHO
File Number: 707380
ZIP code: 83714
County: Ada County
Principal Address: 9209 W. STATE ST. GARDEN CITY, ID 83714
Mailing Address: 3289 N TOWERBRIDGE WAY MERIDIAN, ID 83646-8347

Member

Name Role Address Appointed On
JMJ Holding LLC Member 3289 N. TOWERBRIDGE WAY, MERIDIAN, ID 83642 2021-04-22

Agent

Name Role Address
MICHAEL D. PAYNE Agent 3289 N TOWERBRIDGE WAY, MERIDIAN, ID 83646-8347

National Provider Identifier

NPI Number:
1174145684
Certification Date:
2020-05-07

Authorized Person:

Name:
MICHAEL D PAYNE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005363110 2023-08-14
Annual Report 0005234221 2023-05-09
Annual Report 0004690007 2022-04-06
Annual Report 0004254156 2021-04-22
Statement of Change of Business Mailing Address 0004246619 2021-04-13

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State