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PLAYHOUSE DENTISTRY FOR KIDS, PLLC

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Company Details

Name: PLAYHOUSE DENTISTRY FOR KIDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Apr 2015 (10 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 457463
Place of Formation: IDAHO
File Number: 457463
ZIP code: 83647
County: Elmore County
Principal Address: 125 S 10TH E MOUNTIAN HOME, ID 83647

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On
Zane Palmer Member 125 S 10TH E, MOUNTAIN HOME, ID 83647 2021-04-27

National Provider Identifier

NPI Number:
1801274253

Authorized Person:

Name:
RHONDA ELQUIST
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006159723 2025-03-13
Annual Report 0005645207 2024-03-12
Annual Report 0005163782 2023-03-21
Registered Agent Name/Address Change (mass change) 0004895207 2022-09-12
Annual Report 0004664876 2022-03-19

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
44500.00
Total Face Value Of Loan:
0.00

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State