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EnduraDent PLLC

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Company Details

Name: EnduraDent PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Aug 2020 (5 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 3968573
Place of Formation: IDAHO
File Number: 721096
ZIP code: 83406
County: Bonneville County
Principal Address: 5600 SOLITUDE DR IDAHO FALLS, ID 83406
Mailing Address: 5600 SOLITUDE DR IDAHO FALLS, ID 83406-8247

Agent

Name Role Address
JACOB ALLEN TALL Agent 5600 SOLITUDE DR, IDAHO FALLS, ID 83406

Member

Name Role Address Appointed On
JACOB ALLEN TALL Member 5600 SOLITUDE DR, IDAHO FALLS, ID 83406 2021-08-18

National Provider Identifier

NPI Number:
1720656598
Certification Date:
2021-05-23

Authorized Person:

Name:
DR. JACOB A TALL
Role:
GENERAL DENTIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005803435 2024-07-05
Annual Report 0005411596 2023-09-26
Annual Report 0004830830 2022-07-25
Annual Report 0004388239 2021-08-18
Initial Filing 0003968573 2020-08-10

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State