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Boise Green Tree Dental PLLC

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Company Details

Name: Boise Green Tree Dental PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 21 Sep 2021 (4 years ago)
Financial Date End: 30 Sep 2024
Date dissolved: 18 Nov 2024
Entity Number: 4423960
Place of Formation: IDAHO
File Number: 782803
ZIP code: 83714
County: Ada County
Principal Address: 9400 W RIVERSIDE DRIVE BOISE, ID 83714
Mailing Address: STE 100 2600 W ROSE HILL ST BOISE, ID 83705-5900

Agent

Name Role Address
Chad D Hess Agent 9400 W RIVERSIDE DRIVE, BOISE, ID 83714

Manager

Name Role Address Appointed On
Chad D Hess Manager 9400 W RIVERSIDE DRIVE, BOISE, ID 83714 2022-08-11

National Provider Identifier

NPI Number:
1477278695
Certification Date:
2022-10-10

Authorized Person:

Name:
DR. CHAD HESS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005987294 2024-11-18
Annual Report 0005373344 2023-08-28
Annual Report 0004857006 2022-08-11
Initial Filing 0004423960 2021-09-21

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State