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Tayne A. Peterson, DMD, PLLC

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Company Details

Name: Tayne A. Peterson, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Mar 2022 (3 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4631222
Place of Formation: IDAHO
File Number: 809175
ZIP code: 83318
County: Cassia County
Principal Address: TAYNE A. PETERSON, DMD 17 COLUMBUS ROAD ALAMOGORDO, NM 88310
Mailing Address: TAYNE A. PETERSON, DMD STE 2 2200 PARK AVE BURLEY, ID 83318-2186

Agent

Name Role Address
COGENCY GLOBAL INC. Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On
Tayne A. Peterson, DMD, PLLC Member 2200 PARKE AVE., BURLEY, ID 83318 2023-02-23

National Provider Identifier

NPI Number:
1942936406
Certification Date:
2022-09-07

Authorized Person:

Name:
DR. TAYNE PETERSON
Role:
SOLE MBR
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006145051 2025-03-06
Annual Report 0005604173 2024-02-14
Registered Agent Name/Address Change (mass change) 0005296229 2023-06-29
Annual Report 0005123383 2023-02-23
Registered Agent Name/Address Change (mass change) 0005005613 2022-12-02

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State