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Pope Place, PLLC

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Company Details

Name: Pope Place, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 18 Aug 2020 (5 years ago)
Financial Date End: 31 Aug 2025
Date dissolved: 15 Apr 2025
Entity Number: 3974459
Place of Formation: IDAHO
File Number: 722099
ZIP code: 83651
County: Canyon County
Principal Address: 203 7TH AVE SOUTH NAMPA, ID 83651
Mailing Address: 203 7TH AVE S NAMPA, ID 83651-3846

Agent

Name Role Address
JASON HAMMER Agent 203 7TH AVE SOUTH, NAMPA, ID 83651

Member

Name Role Address Appointed On
Klint Keller Member 203 7TH AVE SOUTH, NAMPA, ID 83651 2021-08-03

Manager

Name Role Address Appointed On
Kim Keller Manager 624 3RD ST S, NAMPA, ID 83651 2023-07-03

National Provider Identifier

NPI Number:
1760094007
Certification Date:
2020-08-18

Authorized Person:

Name:
SEAN WASDEN
Role:
OPERATIONS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0006208537 2025-04-15
Annual Report 0005820807 2024-07-15
Annual Report 0005299435 2023-07-03
Annual Report 0004802818 2022-07-05
Annual Report 0004367025 2021-08-03

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State