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GENTLE FAMILY DENTISTRY, P.C.

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Company Details

Name: GENTLE FAMILY DENTISTRY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 14 Dec 1998 (26 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 387751
Place of Formation: IDAHO
File Number: 387751
ZIP code: 83544
County: Clearwater County
Mailing Address: PO BOX 748 OROFINO, ID 83544-0748

Agent

Name Role Address
LYNN WENTZ Agent 1265 RIVERSIDE AVE, OROFINO, ID 83544

Secretary

Name Role Address Appointed On
Michael Miller Secretary PO BOX 748, OROFINO, ID 83544 2021-02-24

President

Name Role Address Appointed On Resigned On
Lynn Wentz President PO BOX 748, OROFINO, ID 83544 2023-11-03 2023-11-03

National Provider Identifier

NPI Number:
1538233457

Authorized Person:

Name:
DR. LYNN C. WENTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2084764353

Filing

Filing Name Filing Number Filing date
Annual Report 0005996525 2024-11-30
Annual Report 0005458346 2023-11-03
Annual Report 0004972554 2022-11-03
Annual Report 0004480759 2021-11-03
Annual Report 0004182628 2021-02-24

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State