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IDEAL FAMILY DENTISTRY, PLLC

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Company Details

Name: IDEAL FAMILY DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 06 Jul 2024
Entity Number: 417009
Place of Formation: IDAHO
File Number: 417009
ZIP code: 83814
County: Kootenai County
Principal Address: 700 W. IRONWOOD DR STE 241 COEUR D ALENE, ID 83814
Mailing Address: 5337 E HAYDEN LAKE RD HAYDEN, ID 83835-7109

Agent

Name Role Address
JOHN COBURN DMD Agent 5337 E HAYDEN LAKE RD, HAYDEN, ID 83835

Manager

Name Role Address Appointed On
John Coburn Manager 5337 E HAYDEN LAKE RD, HAYDEN, ID 83835 2021-03-04

National Provider Identifier

NPI Number:
1548687072

Authorized Person:

Name:
JOHN COBURN
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086661804

Form 5500 Series

Employer Identification Number (EIN):
465160279
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005804765 2024-07-06
Annual Report 0005245152 2023-05-17
Annual Report 0004732989 2022-05-04
Annual Report 0004197081 2021-03-04
Annual Report 0003803947 2020-03-05

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State