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JHKK PERIODONTICS PLLC

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Company Details

Name: JHKK PERIODONTICS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 May 2021 (4 years ago)
Financial Date End: 31 May 2026
Entity Number: 4292449
Place of Formation: IDAHO
File Number: 765627
ZIP code: 83713
County: Ada County
Principal Address: 6019 N EAGLE RD BOISE, ID 83713
Mailing Address: 6019 N EAGLE RD BOISE, ID 83713-0997

Agent

Name Role Address
JACE HANSEN Agent 6019 N EAGLE RD, BOISE, ID 83713

Member

Name Role Address Appointed On Resigned On
JACE C. HANSEN PERIODONTICS PLLC Member 3399 W FIENO DRIVE, EAGLE, ID 83616 2021-06-09 2022-04-26
Kip Katseanes Member 6019 N EAGLE RD, BOISE, ID 83713-0997 2024-04-03 No data

National Provider Identifier

NPI Number:
1326812637
Certification Date:
2023-11-14

Authorized Person:

Name:
DR. KIP KATSEANES
Role:
CO-OWNER/DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fax:
2083773075

Filing

Filing Name Filing Number Filing date
Annual Report 0006202223 2025-04-09
Annual Report 0005668297 2024-04-03
Application for Reinstatement 0005354696 2023-08-07
Dissolution/Revocation - Administrative 0005349916 2023-08-04
Annual Report 0004715838 2022-04-26

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State