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Spring Creek Dentistry, LLC

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Company Details

Name: Spring Creek Dentistry, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Nov 2022 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4999210
Place of Formation: IDAHO
File Number: 851015
ZIP code: 83318
County: Cassia County
Principal Address: 1706 OVERLAND AVE BURLEY, ID 83318
Mailing Address: 1706 OVERLAND AVE BURLEY, ID 83318-2436

Agent

Name Role Address
Michael Stucki Agent 317 FOXBORO TRAIL, HEYBURN, ID 83336

Member

Name Role Address Appointed On
Ainsley Stucki Member 317 FOXBORO TRAIL, HEYBURN, ID 83336 2023-10-19
Michael B Stucki Member 317 FOXBORO TRAIL, HEYBURN, ID 83336 2023-10-19

National Provider Identifier

NPI Number:
1518645365
Certification Date:
2023-07-10

Authorized Person:

Name:
DR. MICHAEL BRYSON STUCKI
Role:
OWNER/DENTIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005933898 2024-10-08
Annual Report 0005444571 2023-10-19
Initial Filing 0004999210 2022-11-22

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State