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Dentists of Boise and Orthodontics, PC

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Company Details

Name: Dentists of Boise and Orthodontics, PC
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 06 Jul 2020 (5 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 3931922
Place of Formation: OREGON
File Number: 716237
ZIP code: 83714
County: Ada County
Principal Address: 7500 W. STATE STREET, SUITE 110 BOISE, ID 83714
Mailing Address: 17000 RED HILL AVE IRVINE, CA 92614-5626

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Director

Name Role Address Appointed On
Kenneth Benson Director 17000 RED HILL AVE., IRVINE, CA 92614 2024-07-30
Kevin B. J. Johnson Director 17000 RED HILL AVE, IRVINE, CA 92614 2024-07-30

President

Name Role Address Appointed On
Kevin B.J. Johnson President 17000 RED HILL AVE, IRVINE, CA 92614 2021-07-27

Treasurer

Name Role Address Appointed On
Kenneth Johnson Treasurer 17000 RED HILL AVE., IRVINE, CA 92614 2024-07-30

Secretary

Name Role Address Appointed On
Kenneth Benson Secretary 17000 RED HILL AVE., IRVINE, CA 92614 2024-07-30

National Provider Identifier

NPI Number:
1235747338
Certification Date:
2022-08-05

Authorized Person:

Name:
KEVIN JOHNSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
3038520892
Fax:
2083506895

Filing

Filing Name Filing Number Filing date
Annual Report 0005832800 2024-07-30
Registered Agent Name/Address Change (mass change) 0005296322 2023-06-29
Annual Report 0005271831 2023-06-07
Registered Agent Name/Address Change (mass change) 0005005689 2022-12-02
Annual Report 0004806322 2022-07-06

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State