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YOUR SPECIAL SMILES PLLC

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Company Details

Name: YOUR SPECIAL SMILES PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 May 2015 (10 years ago)
Financial Date End: 31 May 2026
Entity Number: 461793
Place of Formation: IDAHO
File Number: 461793
ZIP code: 83338
County: Jerome County
Principal Address: PO BOX 195 JEROME, ID 83338
Mailing Address: BROOKE FUKUOKA 1508 N LYNDON ST JEROME, ID 83338-5026

Agent

Name Role Address
DAVID GADD Agent 905 SHOSHONE ST N, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Brooke Fukuoka Manager 1508 N. LYNDON ST, JEROME, ID 83338 2021-04-03

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
BROOKE FUKUOKA
User ID:
P2798094

Unique Entity ID

Unique Entity ID:
XAXYNKBR3WL6
CAGE Code:
8AD39
UEI Expiration Date:
2026-06-05

Business Information

Activation Date:
2025-06-09
Initial Registration Date:
2019-04-02

Commercial and government entity program

CAGE number:
8AD39
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-09
CAGE Expiration:
2030-06-09
SAM Expiration:
2026-06-05

Contact Information

POC:
BROOKE FUKUOKA

National Provider Identifier

NPI Number:
1467820068

Authorized Person:

Name:
DR. BROOKE MARIE-OSGOOD FUKUOKA
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006231955 2025-05-04
Annual Report 0005766195 2024-06-08
Dissolution/Revocation - Administrative 0005348915 2023-08-04
Application for Reinstatement 0005351523 2023-08-04
Annual Report 0004769860 2022-06-05

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Date of last update: 04 Sep 2025

Sources: Idaho Secretary of State