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HSC DENTAL, LLC

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Company Details

Name: HSC DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Dec 2020 (4 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4101926
Place of Formation: IDAHO
File Number: 738088
ZIP code: 83647
County: Elmore County
Principal Address: R. TERRY HALL 2355 AMERICAN LEGION BLVD MOUNTAIN HOME, ID 83647
Mailing Address: 2355 AMERICAN LEGION BLVD MOUNTAIN HOME, ID 83647

Agent

Name Role Address
R. Terry Hall Agent 2355 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647

Member

Name Role Address Appointed On Resigned On
KnA Dental, LLC Member 2355 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647 2023-11-27 2023-11-27
DENTAL CENTER, P.L.L.C. Member 2355 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647 2021-12-22 No data

National Provider Identifier

NPI Number:
1033707120
Certification Date:
2021-01-05

Authorized Person:

Name:
KYLE CHRISTENSEN
Role:
OWNER/DENTIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006205144 2025-04-11
Annual Report 0005990911 2024-11-21
Annual Report 0005488181 2023-11-27
Annual Report 0005073029 2023-01-17
Annual Report 0004537651 2021-12-22

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State