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MILLENNIUM FAMILY DENTAL-MERIDIAN, LLC

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Company Details

Name: MILLENNIUM FAMILY DENTAL-MERIDIAN, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Dec 2014 (10 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 442394
Place of Formation: IDAHO
File Number: 442394
ZIP code: 83642
County: Ada County
Principal Address: 1848 SOUTH MILLENNIUM WAY MERIDIAN, ID 83642
Mailing Address: 1848 S MILLENIUM WAY MERIDIAN, ID 83642-1510

Agent

Name Role Address
RANDALL B SMITH Agent 1848 SOUTH MILLENNIUM WAY, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Randall Smith Manager 1848 S MILLENNIUM WAY, MERIDIAN, ID 83642 2020-11-03

Member

Name Role Address Appointed On Resigned On
Brandon Pieper Member 1848 S MILLENNIUM WAY, MERIDIAN, ID 83642 2023-11-03 No data
Jake Gerrard Member 1848 S MILLENNIUM WAY, MERIDIAN, ID 83642 2023-11-03 2023-11-03

National Provider Identifier

NPI Number:
1689773525
Certification Date:
2022-01-26

Authorized Person:

Name:
DR. RANDALL B SMITH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2088882094

Form 5500 Series

Employer Identification Number (EIN):
472548657
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005984536 2024-11-15
Annual Report 0005455556 2023-11-03
Annual Report 0005048064 2023-01-03
Annual Report 0004502208 2021-11-19
Annual Report 0004050633 2020-11-03

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State