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MICHAEL R. BAILEY, MD, DDS, P.A.

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Company Details

Name: MICHAEL R. BAILEY, MD, DDS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 21 Aug 2002 (23 years ago)
Financial Date End: 31 Aug 2022
Date dissolved: 04 Feb 2022
Entity Number: 442151
Place of Formation: IDAHO
File Number: 442151
ZIP code: 83702
County: Ada County
Mailing Address: STE 300 403 S 11TH ST BOISE, ID 83702-6968

Agent

Name Role Address
MICHAEL R BAILEY Agent 2645 S OLD HICKORY WAY, BOISE, ID 83716

President

Name Role Address Appointed On
Michael R Bailey President 403 S 11TH ST, BOISE, ID 83702 2020-08-05

National Provider Identifier

NPI Number:
1053584284

Authorized Person:

Name:
MICHAEL R BAILEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
2083449113

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004596415 2022-02-04
Annual Report 0004396406 2021-08-31
Annual Report 0003960801 2020-08-05
Annual Report 0003591289 2019-08-08
Annual Report 0002875868 2018-06-19

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 04 Sep 2025

Sources: Idaho Secretary of State