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Leavitt Orthodontics P.C.

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Company Details

Name: Leavitt Orthodontics P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 04 Jan 2021 (5 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4117613
Place of Formation: IDAHO
File Number: 740565
ZIP code: 83201
County: Bannock County
Mailing Address: TYLER LEAVITT STE A 1455 BENCH RD POCATELLO, ID 83201-5084

Agent

Name Role Address
Tyler Leavitt Agent 1455 BENCH RD., STE. A, POCATELLO, ID 83201

President

Name Role Address Appointed On
Tyler Leavitt President 1455 BENCH RD., POCATELLO, ID 83201 2022-01-31

National Provider Identifier

NPI Number:
1821866682
Certification Date:
2023-12-12

Authorized Person:

Name:
TYLER LEAVITT
Role:
OWNER/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006132334 2025-02-28
Application for Reinstatement 0005709581 2024-05-01
Dissolution/Revocation - Administrative 0005707351 2024-04-30
Annual Report 0005121828 2023-02-21
Annual Report 0004586760 2022-01-31

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State