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CARL B. HOLM, D.D.S., P.C.

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Company Details

Name: CARL B. HOLM, D.D.S., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Dec 1999 (26 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 402844
Place of Formation: IDAHO
File Number: 402844
ZIP code: 83201
County: Bannock County
Mailing Address: 350 E CEDAR ST POCATELLO, ID 83201-3709

Agent

Name Role Address
CARL B HOLM DDS PC Agent 350 E CEDAR ST STE A, POCATELLO, ID 83201

President

Name Role Address Appointed On
Carl B Holm President 818 WENDY, CHUBBUCK, ID 83202 2020-11-03

National Provider Identifier

NPI Number:
1174797716

Authorized Person:

Name:
DR. CARL HOLM
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2082332523

Form 5500 Series

Employer Identification Number (EIN):
820518862
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005958173 2024-11-03
Annual Report 0005456035 2023-11-03
Annual Report 0004969037 2022-11-03
Annual Report 0004477038 2021-11-03
Annual Report 0004047430 2020-11-03

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State