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Parkcenter Oral and Maxillofacial Surgery PLLC

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Company Details

Name: Parkcenter Oral and Maxillofacial Surgery PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Sep 2021 (4 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 4426344
Place of Formation: IDAHO
File Number: 783338
ZIP code: 83716
County: Elmore County
Principal Address: 3190 E. BARBER VALLEY DR. BOISE, ID 83716
Mailing Address: STUART RUPP 3190 E. BARBER VALLEY DR BOISE, ID 83716

Agent

Name Role Address
Stuart Rupp Agent 3190 E BARBER VALLEY DR, BOISE, ID 83716

Manager

Name Role Address Appointed On
Stuart Rupp Manager 3190 E BARBER VALLEY DR., BOISE, ID 83716 2024-10-04

National Provider Identifier

NPI Number:
1811670631
Certification Date:
2023-10-20

Authorized Person:

Name:
DR. STUART J RUPP
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085042771

Filing

Filing Name Filing Number Filing date
Annual Report 0005929453 2024-10-04
Application for Reinstatement 0005366977 2023-08-18
Dissolution/Revocation - Administrative 0005024139 2022-12-09
Initial Filing 0004426344 2021-09-23

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State