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208 Dental PLLC

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Company Details

Name: 208 Dental PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4049839
Place of Formation: IDAHO
File Number: 732474
ZIP code: 83642
County: Ada County
Principal Address: ERIC GOETTSCHE #110 53 E CALDERWOOD DRIVE MERIDIAN, ID 83642
Mailing Address: ERIC GOETTSCHE 53 E CALDERWOOD DR # 110 MERIDIAN, ID 83642-7440

Agent

Name Role Address
ERIC GOETTSCHE Agent 2514 MT ETNA DR, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Eric Goettsche Manager 53 E CALDERWOOD DRIVE, MERDIAN, ID 83642 2021-12-22

National Provider Identifier

NPI Number:
1356945539
Certification Date:
2022-07-11

Authorized Person:

Name:
DR. ERIC REID GOETTSCHE
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085018862

Filing

Filing Name Filing Number Filing date
Annual Report 0005921942 2024-10-03
Annual Report 0005420000 2023-10-03
Annual Report 0004930149 2022-10-03
Amendment to Certificate 0004584957 2022-01-30
Statement of Change of Business Mailing Address 0004573786 2022-01-17

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State